WALGREEN CO (NPI# 1255850194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850194 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17092 |
| Practice Address |
1214 Grand Caillou Rd Houma LA 70363-5555 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9858733612 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-09-10 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2206354 | 05 | |
| LA | NCPDP | 1940558 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #17092 | 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 |
1214 GRAND CAILLOU RD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396031811 | Michael Wayne Hellmers | Pharmacist | 1214 Grand Caillou Rd, Houma, LA 70363-5555 | 2011-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| 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 |
|---|---|---|---|---|
| 1194187591 | St. Vincent De Paul Tri Parish Pharmacy | Pharmacy | 7385 Main St, Houma, LA 70360-4021 | 2016-03-24 |
| 1801210935 | Peoples Drug Store | Pharmacy | 7869 Main Street, Houma, LA 70360 | 2014-02-10 |
| 1548564677 | March Willows | Pharmacy | 2138 Bayou Blue Rd, Houma, LA 70364-3909 | 2011-01-04 |
| 1518092436 | Peoples Drug Store Inc | Pharmacy | 101 Goode St, Houma, LA 70360-4443 | 2007-02-22 |
| 1417026360 | Broadmoor Drug Center Inc | Pharmacy | 6096 W Park Ave, Houma, LA 70364-1808 | 2006-11-07 |
| 1629172689 | Haydels Drug Store Inc | Pharmacy | 4752 Highway 311 Ste 100, Houma, LA 70360-2810 | 2006-09-12 |
| 1104930189 | Haydels Drug Store Inc | Pharmacy | 831 Grand Caillou Rd, Houma, LA 70363-5882 | 2006-08-18 |
| 1366939613 | Peoples Drug Store | Pharmacy | 7869 Main St, Houma, LA 70360-4461 | 2018-04-21 |
| 1639517550 | Southern Regional Medical Corporation | Pharmacy | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2013-06-13 |
| 1760686869 | Houma Family Drugs | Pharmacy | 606 Liberty St, Suite A, Houma, LA 70360-4622 | 2007-06-13 |
| Find all providers in HOUMA | ||||
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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.