WALGREEN CO (NPI# 1265460828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265460828 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09560 |
| Practice Address |
2453 S Azusa Ave West Covina CA 91792-1536 |
| Mailing Address |
1901 E Voorhees St Ms# 790 Danville IL 61834-4509 |
| Practice Telephone | 6269643101 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-10-08 |
| 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 | PHY47491 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1265460828 | 05 | |
| NCPDP | 5622445 | 01 | |
| CA | PHA474910 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09560 | 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 |
2453 S AZUSA AVE |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91792-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063953735 | Rita Huynh | Pharmacist | 2453 S Azusa Ave, West Covina, CA 91792-1536 | 2017-03-15 |
| 1730456658 | Wendi Uyen Quach | Pharmacist | 2453 S Azusa Ave, West Covina, CA 91792-1536 | 2011-11-21 |
| 1972880862 | Chu Sheng Huang | Pharmacist | 2453 S Azusa Ave, West Covina, CA 91792-1536 | 2011-11-07 |
| 1538445044 | Fe Acosta | Pharmacist | 2453 S Azusa Ave, West Covina, CA 91792-1536 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972160083 | Banaria Dental Group Inc | Dentist | 1550 E. Amar Road Suite V, West Covina, CA 91792 | 2019-05-23 |
| 1174040570 | John Paul Yee | Nurse Practitioner | 3700 Colorado St, West Covina, CA 91792 | 2017-08-25 |
| 1982062584 | Debra Robinson | Occupational Therapy Assistant | 2445 Arline Street, West Covina, CA 91792 | 2016-02-10 |
| 1427326503 | Ritzcare Health Services | Respite Care | 2707 E. Balley Blvd, Suite 307a, West Covina, CA 91792 | 2011-12-05 |
| 1164702478 | Arwin Kalaw | Nurse Practitioner | 1312 Oahu Street, West Covina, CA 91792 | 2011-08-18 |
| 1003110701 | Alexander Cariaga | Physical Therapy Assistant | 3532 Hedgerow Dr, West Covina, CA 91792 | 2011-01-10 |
| 1972831162 | Eternally Yours Hospice, Inc. | Hospice Care, Community Based | 2550 E. Amar Rd., Unit A1-g, West Covina, CA 91792 | 2009-11-26 |
| 1588830228 | Jun Li | Dentist | 2707 E. Valley Blvd., #301, West Covina, CA 91792 | 2008-05-02 |
| 1093991713 | Imelda Diaz Soto | Dentist | 1031 E Amar Rd, West Covina, CA 91792 | 2008-01-11 |
| 1588849608 | Sarah Jane Dancel-atendido | Dentist | 2707 E. Valley Blvd., Suite 200, West Covina, CA 91792 | 2008-01-08 |
| Find all providers in zip 91792 | ||||
| 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 |
|---|---|---|---|---|
| 1750454815 | Toms Pharmacy | Pharmacy | 2686 E Garvey Ave South, West Covina, CA 91791 | 2006-11-16 |
| 1750396354 | Greater Valley Pharmacy | Pharmacy | 1135 S Sunset Ave Ste 101, West Covina, CA 91790-3938 | 2006-07-30 |
| 1427440049 | West Covina Medical Center | Pharmacy | 725 S Orange Ave, West Covina, CA 91790-2614 | 2015-02-19 |
| 1538568316 | Pharmedquest Pharmacy Services | Pharmacy | 1300 S Sunset Ave, West Covina, CA 91790-3342 | 2014-08-18 |
| 1588893655 | Merced Medical Apothecary Inc | Pharmacy | 1515 W Merced Ave, West Covina, CA 91790-3403 | 2009-07-09 |
| 1568647758 | Merced Medical Pharmacy | Pharmacy | 1515 W Merced Ave, West Covina, CA 91790-3403 | 2008-01-07 |
| 1033266358 | Kaiser Foundation Health Plan Inc | Pharmacy | 1249 S Sunset Ave, West Covina, CA 91790-3960 | 2007-01-05 |
| 1740365030 | Merced Medical Pharmacy Inc | Pharmacy | 1515 W Merced Ave, West Covina, CA 91790-3403 | 2006-10-26 |
| 1225135114 | Maxson Medical Pharmacy Inc | Pharmacy | 933 South Sunset Ave, West Covina, CA 91790 | 2006-09-20 |
| 1669583993 | Tj Enterprises, Inc. | Pharmacy | 1135 S Sunset Ave Ste 101, West Covina, CA 91790-3938 | 2006-08-31 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91792 |
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.