WALGREEN CO. (NPI# 1275602062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275602062 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #09016 |
| Practice Address |
200 W State Road 436 Altamonte Springs FL 32714-4202 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4073890476 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-11-07 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH22327 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1019911 | 01 | |
| FL | 031759400 | 05 | |
| FL | 031759401 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09016 | 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 |
200 W STATE ROAD 436 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32714-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083263412 | Zachary Johnson | Pharmacy | 200 W State Road 436, Altamonte Springs, FL 32714-4202 | 2019-09-09 |
| 1003185307 | Sawsan S Sorial | Pharmacist | 200 W State Road 436, Altamonte Springs, FL 32714-4202 | 2011-12-15 |
| 1427339019 | Christopher Bates | Pharmacist | 200 W State Road 436, Altamonte Springs, FL 32714-4202 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207173 | Juliana Cruz | Massage Therapist | 627 Dory Ln Unit.104, Altamonte Springs, FL 32714 | 2020-08-26 |
| 1376178699 | Nicole Diemond Segur | Counselor | 11100 Douglas Avenue, Suite 2040, Altamonte Springs, FL 32714 | 2020-03-06 |
| 1821647033 | Kayla Padilla | Student in an Organized Health Care Education/Training Program | 418 San Sebastian Prado, Altamonte Springs, FL 32714 | 2019-09-10 |
| 1750846077 | Brandi Loverich Ligon | Nurse Practitioner | 519 Baywood Ct, Altamonte Springs, FL 32714 | 2019-02-01 |
| 1831674902 | Eunice Eunjin Pyon | Optometrist | 886 W Fl-436, Altamonte Springs, FL 32714 | 2018-09-25 |
| 1619474251 | A Path To Change Counseling, LLC | Counselor | 221 Frontage Road Suite A, Clermont, FL 32714 | 2018-04-10 |
| 1225556889 | Rosen Medical Center, Inc. | Family Medicine | 7656 International Drive, Orlando, FL 32714 | 2017-09-05 |
| 1932629920 | Antonio Arias | Acupuncturist | 140 N. Westmonte Drive, Suite 100, Altamonte Springs, FL 32714 | 2017-06-21 |
| 1619406030 | Alexander Ruiz | Physical Therapy Assistant | 1348 Sassafras Ave, Altamonte Springs, FL 32714 | 2017-06-08 |
| 1912446386 | Kioanna Branker | Community Health Worker | 697 Ashford Oaks Dr Apt 203, Altamonte Springs, FL 32714 | 2017-02-18 |
| Find all providers in zip 32714 | ||||
| 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 |
|---|---|---|---|---|
| 1538520234 | Mpam | Pharmacy | 696 E Altamonte Dr, Suite#1060, Altamonte Springs, FL 32701-4831 | 2016-03-09 |
| 1245625938 | Pharmacy 4 Less LLC | Pharmacy | 805 Douglas Ave Ste #159, Altamonte Springs, FL 32714 | 2015-03-31 |
| 1992079289 | Healthpro Alliance LLC | Pharmacy | 990 N Sr 434, Suite 1128, Altamonte Springs, FL 32714-7035 | 2012-03-04 |
| 1972838241 | Awprx, LLC | Pharmacy | 307 Cranes Roost Blvd Suite 1040, Suite 2000, Altamonte Springs, FL 32714-3374 | 2009-10-05 |
| 1609817105 | Publix Super Markets Inc | Pharmacy | 851 S State Road 434, Altamonte Springs, FL 32714-4811 | 2006-06-08 |
| 1083263412 | Zachary Johnson | Pharmacy | 200 W State Road 436, Altamonte Springs, FL 32714-4202 | 2019-09-09 |
| 1083936496 | Daylan Inc | Pharmacy | 600 E Altamonte Dr, Suite 1400, Altamonte Springs, FL 32701-4815 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452974 | Curry Ford Pharmacy LLC | Pharmacy | 4538 Curry Ford Rd, Orlando, FL 32812-2711 | 2020-09-19 |
| 1225641525 | Englewood Pharmaceutical Services Inc | Pharmacy | 1720 S Mccall Rd Ste J, Englewood, FL 34223-4867 | 2020-08-26 |
| 1972115103 | Intellrx Consulting LLC | Pharmacy | 1257 The 12th Fairway, Wellington, FL 33414-5738 | 2020-08-19 |
| 1518577576 | Publix Super Markets, Inc | Pharmacy | 7340 Kathleen Rd, Lakeland, FL 33810-4495 | 2020-08-05 |
| 1962011890 | Green Star Pharmacy | Pharmacy | 2950 Winkler Ave Ste 701, Fort Myers, FL 33916-9322 | 2020-07-27 |
| 1356959134 | Cverx Pharmacy Corp | Pharmacy | 7360 Sw 24th St Ste 29, Miami, FL 33155-1462 | 2020-07-17 |
| 1447877287 | Jerry Voltaire | Pharmacy | 16470 Cedar Run Dr, Orlando, FL 32828-6970 | 2020-06-27 |
| 1598381980 | John Melvin Schemm IIi | Pharmacy | 7617 Bay Port Rd, Orlando, FL 32819-5504 | 2020-06-22 |
| 1891318267 | Empire Specialty Pharmacy LLC | Pharmacy | 749 S Apollo Blvd, Melbourne, FL 32901-1457 | 2020-05-20 |
| 1992334205 | Mypills Pharmacy LLC | Pharmacy | 303a E 1st St, Sanford, FL 32771-1377 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32714 |
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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.