WALGREEN CO. (NPI# 1265562656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265562656 |
Entity Type | Organization |
Organization Name | WALGREEN CO. |
Other Organization Name | WIGGINS FAMILY PHARMACY |
Practice Address |
1128 S Park St Carrollton GA 30117-4450 |
Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
Practice Telephone | 7708360770 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2007-03-06 |
Last Update Date | 2016-08-29 |
Authorized Official Name | MR. ALAN NIELSEN (TREASURER) |
Authorized Official Telephone | 8473153523 |
Is Organization Subpart | Y |
Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 302R00000X | Health Maintenance Organization | PHRE007615 | GA | Managed Care Organizations |
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | PHRE007615 | GA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP | 1139244 | 01 |
Other Name | Type Code |
---|---|
Wiggins Family Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
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 |
1128 S PARK ST |
City | CARROLLTON |
State | GA |
Zip Code | 30117-4450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669536835 | Daniel A Williams | Family Medicine | 1128 S Park St, Carrollton, GA 30119-4450 | 2006-12-21 |
1346856440 | Emelia Arthur Beam | Pharmacist | 1128 S Park St, Carrollton, GA 30117-4450 | 2020-09-23 |
1801171418 | Amy King Griffin | Pharmacist | 1128 S Park St, Carrollton, GA 30117-4450 | 2011-10-14 |
1952427866 | Julie R. Strickland | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-22 |
1831221464 | Loree Johnson Robinson | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-09 |
1073643425 | Cindy White Spruell | Pharmacist | 1128 S Park St, Carrollton, GA 30117-4450 | 2007-03-06 |
1649300021 | Candler Lindsey Walls Jr. | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-06 |
1326178633 | Pam J Gordon | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-06 |
1437213709 | Meridian Corporate Healthcare of Georgia PC | Family Medicine | 1128 S Park St, Carrollton, GA 30119-4450 | 2006-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
Find all providers in zip 30117 |
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 |
---|---|---|---|---|
1902307424 | Sasha Ramik LLC | Pharmacy | 3044 Old Denton Rd Ste 305, Carrollton, TX 75007-5017 | 2018-02-21 |
1467727909 | Institutional Pharmacy Solutions LLC | Pharmacy | 2225 W Parker Drive, Carrollton, TX 75007 | 2012-03-16 |
1437435179 | Smile Pharmaceutical Inc | Pharmacy | 2625 Old Denton Rd Ste 586, Carrollton, TX 75007-5110 | 2011-10-26 |
1184876831 | Carrollton Drugs Inc | Pharmacy | 25700 Highway 17, Carrollton, AL 35447-3246 | 2008-10-14 |
1750457925 | Carrollton Pharmacy Inc | Pharmacy | 105 Clinic Ave, Carrollton, GA 30117-4413 | 2006-11-28 |
1245323609 | Southern Family Markets LLC | Pharmacy | 505 Bankhead Hwy, Carrollton, GA 30117-2446 | 2006-09-30 |
1063448314 | Discount Drug Mart Inc | Pharmacy | 592 12th St Nw, Carrollton, OH 44615-9413 | 2006-06-25 |
1104865989 | Albertsons LLC | Pharmacy | 2661 Midway Rd, Carrollton, TX 75006-2359 | 2006-06-06 |
1396198818 | Platz Enterprises Inc. | Pharmacy | 1409 N Jefferson St, Carrollton, MO 64633-1945 | 2016-07-20 |
1902822232 | Briar Hill Foods | Pharmacy | 501 W Main St, Carrollton, OH 44615-1029 | 2006-07-13 |
Find all providers in CARROLLTON |
City | CARROLLTON |
Zip Code | 30117 |
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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.