WALGREEN CO (NPI# 1255346532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255346532 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #02739 |
| Practice Address |
440 Blossom Hill Rd San Jose CA 95123-1608 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 4082298013 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-09-24 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY39026 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0533011 | 01 | |
| CA | 1255346532 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02739 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1548873284 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 909 Veterans Blvd, Del Rio, TX 78840-4065 | 2020-08-24 |
| 1013527092 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 | 2020-08-05 |
| 1801419650 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 N Main St Ste 100rx, Blacksburg, VA 24060-3129 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1932746047 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 W Broughton St, Savannah, GA 31401-3216 | 2019-12-09 |
| 1053955377 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1530 Celebration Blvd Ste 100rx, Kissimmee, FL 34747-5164 | 2019-10-30 |
| 1528600269 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 212a Moore Rd, King, NC 27021-8703 | 2019-10-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | WALGREEN CO. | 161 Washington Street, Suite 1400, Conshohocken, PA 19428 |
| Iowa Business Entities | WALGREEN CO. | 300 Wilmot Road, Deerfield, IL 60015 |
| Virginia Business Entities | WALGREEN CO. | 161 Washington St Ste 1400, Conshohocken, Pennsylvania 19428-2055 |
| Washington State Corporations | WALGREEN CO. | 300 Wilmot Rd, Deerfield, IL 60015-4614 |
| North Carolina Corporations | Walgreen Co. | 2626 Glenwood Avenue, Suite 550, Raleigh, NC 27608 |
| Oregon Corporations, Companies and Business Names | WALGREEN CO. | 300 Wilmot Road, Deerfield, IL 60015 |
| New York State Corporations | WALGREEN CO. | 80 State Street, Albany, New York 12207-2543 |
| Oklahoma Business Registrations | WALGREEN CO. | Attention Tax Department, 200 Wilmot Road, Deerfield, IL 60015 |
| Street Address |
440 BLOSSOM HILL RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922645019 | Harrison Tu | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2019-12-08 |
| 1164082061 | Diana Quyen Doan | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2019-06-13 |
| 1962939819 | Virginia Nguyen | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2017-05-22 |
| 1760868731 | Phi Tien Nguyen | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2015-07-31 |
| 1710362413 | Vi Phan | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2015-07-23 |
| 1104220888 | Aya Alaadel | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2014-10-09 |
| 1114342623 | Herjot Kaur Atwal | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2014-02-20 |
| 1477998698 | Thinh Nguyen | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2013-05-01 |
| 1679842546 | Jismol Shiby John | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2011-12-22 |
| 1649549510 | Jayasree Pindi Venkat | Pharmacist | 440 Blossom Hill Rd, San Jose, CA 95123-1608 | 2011-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1952923591 | Bay Area Pharmacy | Pharmacy | 2519 S King Rd, San Jose, CA 95122-1825 | 2020-05-16 |
| 1437788015 | Vietnam Pharmacy Inc | Pharmacy | 2451 S King Rd Suite A1, San Jose, CA 95122 | 2020-04-06 |
| 1508403841 | Kc Pharmacy Corporation | Pharmacy | 2060 Aborn Rd Ste 150b, San Jose, CA 95121-1587 | 2019-12-05 |
| 1902307358 | Kaiser Foundation Health Plan Inc | Pharmacy | 1721 Technology Dr Fl 1, San Jose, CA 95110-1305 | 2018-02-21 |
| 1184178063 | Drogueria San Jose Inc | Pharmacy | 25 N 14th St Ste 168, San Jose, CA 95112-6204 | 2016-08-09 |
| 1578919510 | Leiters Enterprises Inc | Pharmacy | 6541 Via Del Oro Ste B, San Jose, CA 95119-1207 | 2016-05-09 |
| 1861852030 | Evergreen Pharmacy Inc | Pharmacy | 2365 Quimby Rd Ste 150, San Jose, CA 95122-1337 | 2016-03-02 |
| 1497124689 | Tt Pharmacy | Pharmacy | 1863 Alum Rock Ave Ste A, San Jose, CA 95116-1397 | 2015-09-18 |
| 1619345527 | Botika Inc | Pharmacy | 1939 Monterey Hwy Ste 2, San Jose, CA 95112-6149 | 2015-09-09 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.