WALGREEN CO (NPI# 1275548232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275548232 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04156 |
| Practice Address |
12405 Ne 85th St Kirkland WA 98033-8032 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4258229202 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-10 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | CF55952 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 6019962 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4925674 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04156 | 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 |
12405 NE 85TH ST |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383606 | Kei Matsumoto | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2020-07-07 |
| 1659993400 | Thanh Luu | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2020-05-15 |
| 1679043251 | Nahid Khaghani | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033 | 2018-11-27 |
| 1891065660 | Shiva Khosravi Moghadam | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2012-01-10 |
| 1659640506 | Patrick Tra | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2011-12-22 |
| 1790061059 | Tejal Patel | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2011-10-31 |
| 1770868341 | Chunyi Chang | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2011-10-14 |
| 1295065043 | Haimanot Admassu | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2009-12-29 |
| 1780914614 | Sumaira Zafar Qureshi | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2009-12-25 |
| 1194054080 | Lisa R Wood | Pharmacist | 12405 Ne 85th St, Kirkland, WA 98033-8032 | 2009-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| 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 |
|---|---|---|---|---|
| 1194760629 | Fred Meyer Stores Inc | Pharmacy | 12221 120th Ave Ne, Kirkland, WA 98034-6905 | 2006-06-18 |
| 1962477737 | Evergreen Corporation | Pharmacy | 134 Central Way, Kirkland, WA 98033-6106 | 2006-02-22 |
| 1598832412 | Public Hospital District No 2 of King County | Pharmacy | 12303 Ne 130th Ln, Ste 210, Kirkland, WA 98034-3099 | 2006-11-29 |
| 1619089596 | The Bartell Drug Co | Pharmacy | 10625 Ne 68th St, Kirkland, WA 98033-7054 | 2006-08-31 |
| 1518077296 | The Bartell Drug Co | Pharmacy | 14130 Juanita Dr Ne, Kirkland, WA 98034-0127 | 2006-08-30 |
| 1164532842 | The Bartell Drug Co | Pharmacy | 14442 124th Ave Ne, Kirkland, WA 98034-4801 | 2006-08-30 |
| 1144337932 | The Bartell Drug Co | Pharmacy | 6619 132nd Ave Ne, Kirkland, WA 98033-8627 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515644 | Allison Marie Hill | Pharmacy | 3 Spruce Ln, South Bend, WA 98586-9008 | 2020-07-20 |
| 1518504984 | Petersen Investments, LLC | Pharmacy | 12119 Ne 99th St Ste 2030, Vancouver, WA 98682-2461 | 2019-12-04 |
| 1033755731 | Scriptdash Inc | Pharmacy | 13010 Ne 20th St Ste 200, Bellevue, WA 98005-2034 | 2019-11-18 |
| 1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
| 1518517101 | The Bartell Drug Co | Pharmacy | 2506 2nd Ave, Seattle, WA 98121-1427 | 2019-09-16 |
| 1457904625 | University of Washington | Pharmacy | 750 Republican St Bldg F, Seattle, WA 98109-4766 | 2019-07-17 |
| 1508348020 | The Bartell Drug Co | Pharmacy | 9010 Market Pl, Lake Stevens, WA 98258-4908 | 2018-08-31 |
| 1144710922 | Healthpoint | Pharmacy | 947 Powell Ave Sw Ste B, Renton, WA 98057-2975 | 2018-05-16 |
| 1093202087 | Sixth Avenue Medical Building Pharmacy | Pharmacy | 508 W 6th Ave Ste 104, Spokane, WA 99204-2701 | 2018-04-16 |
| 1265935795 | The Bartell Drug Co | Pharmacy | 7423 204th St Ne, Arlington, WA 98223-8204 | 2018-03-12 |
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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.