WALGREEN CO (NPI# 1255854139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255854139 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17606 |
| Practice Address |
16435 Wise St Saint Paul VA 24283-0980 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2767625011 |
| Practice Fax Number | 2767627030 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2020-02-06 |
| 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 | 0201002282 | VA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BOARD OF PHARMACY | 0201002282 | 01 |
| VA | 1255854139 | 05 | |
| VA | NCPDP | 4849139 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #1636 | Doing Business As Name - Organization |
| Rite Aid #17606 | Doing Business As Name - Organization |
| Walgreens #17606 | 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 |
16435 WISE ST |
| City | SAINT PAUL |
| State | VA |
| Zip Code | 24283-0980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649510611 | Julie Large | Pharmacist | 16435 Wise St., St. Paul, VA 24283 | 2013-02-27 |
| 1144510264 | Misty D Sword Ward | Pharmacist | 16435 Wise Street, St Paul, VA 24283 | 2011-04-11 |
| 1629379292 | Family Preservation Services, Inc. | Community/Behavioral Health | 3200 Deacon Drive, Saint Paul, VA 24283 | 2010-11-12 |
| 1477736684 | Candice M Bolling | Physician Assistant | 16431 Wise St, St Paul, VA 24283 | 2007-12-11 |
| 1710104260 | St Charles Health Council Inc | Clinic/Center | 1389 Dante Road, St Paul, VA 24283 | 2007-04-19 |
| 1780712513 | James A Gross | Pharmacist | 3103 Fletcher Dr, Saint Paul, VA 24283 | 2007-03-01 |
| 1891847489 | Crystal E Burke | Social Worker | Hwy 63 North, Clinic Street, St. Paul, VA 24283 | 2007-01-17 |
| 1497839716 | Beacon of Life Ambulance Service | Ambulance | 16559 Riverside Dr, St. Paul, VA 24283 | 2006-10-24 |
| 1477571743 | Taylor D Holliday | Family Medicine | 16431 Wise St., Saint Paul, VA 24283 | 2006-07-17 |
| 1215960323 | Hamilton Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 16610 Russell Street, St Paul, VA 24283 | 2006-07-09 |
| Find all providers in zip 24283 | ||||
| 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 |
|---|---|---|---|---|
| 1518323997 | Genoa Healthcare, LLC | Pharmacy | 166 4th St E Ste 244, Saint Paul, MN 55101-1421 | 2016-01-14 |
| 1346635059 | Brightly Pharmacy Care Inc | Pharmacy | 1239 Payne Ave Ste 202, Saint Paul, MN 55130-3667 | 2015-03-31 |
| 1447323480 | Alchemist General Inc | Pharmacy | 694 Snelling Ave N, Suite A, Saint Paul, MN 55104 | 2006-11-16 |
| 1386738631 | Snyders Drug | Pharmacy | 2920 Rice St, Saint Paul, MN 55113-2230 | 2006-10-03 |
| 1982798385 | Snyders Drug | Pharmacy | 1867 Robert St S, Saint Paul, MN 55118-3904 | 2006-10-03 |
| 1245324649 | Snyders Drug Stores Inc | Pharmacy | 800 White Bear Ave N, Saint Paul, MN 55106-4319 | 2006-10-03 |
| 1619061017 | Snyders Drug | Pharmacy | 1121 Larpenteur Ave W, Saint Paul, MN 55113-6335 | 2006-10-03 |
| 1861480519 | Rbf LLC | Pharmacy | 892 Arcade St, Saint Paul, MN 55106-3852 | 2005-10-06 |
| 1447883269 | Children's Health Care | Pharmacy | 345 Smith Ave N, Saint Paul, MN 55102-2346 | 2020-02-20 |
| 1386778090 | James A Swinarski | Pharmacy | 624 Howard Ave, Saint Paul, NE 68873-2023 | 2007-03-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 24283 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.