WALGREEN CO (NPI# 1275796807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275796807 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11957 |
| Practice Address |
1260 Washington St Blair NE 68008-1732 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 4025338444 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | MR. ALAN T 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2830 | NE | Suppliers |
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1275796807 | 05 | |
| NE | NCPDP | 2817647 | 01 |
| NE | 10025683000 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #11957 | 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 |
1260 WASHINGTON ST |
| City | BLAIR |
| State | NE |
| Zip Code | 68008-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891066858 | Anne Jackson | Pharmacist | 1260 Washington St, Blair, NE 68008-1732 | 2012-01-23 |
| 1184993222 | Michael James Comstock Ix | Pharmacist | 1260 Washington St, Blair, NE 68008-1732 | 2011-12-19 |
| 1144597394 | Nathan Points | Pharmacist | 1260 Washington St, Blair, NE 68008-1732 | 2011-11-16 |
| 1619254828 | Stacy J Wachter | Pharmacist | 1260 Washington St, Blair, NE 68008-1732 | 2011-11-16 |
| 1013284272 | Elizabeth Gwilt | Pharmacist | 1260 Washington St, Blair, NE 68008-1732 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1750752432 | Mindy Logston | Speech-Language Pathologist | 1717 Adams Street, Blair, NE 68008 | 2015-10-07 |
| 1952545709 | Home Care Network, Inc | Nursing Care | 14700 State Highway 133, Blair, NE 68008 | 2009-04-23 |
| 1619114246 | Andrea L Ott | Physician Assistant | 812 N 22nd Street, Blair Clinic, Blair, NE 68008 | 2009-01-20 |
| 1730376047 | Assisted Living Concepts Inc | Assisted Living Facility | 1028 Joann Drive, Blair, NE 68008 | 2007-10-01 |
| 1497956478 | Charles Leroy Gleeson | Pharmacist | 9889 Cr 29, Blair, NE 68008 | 2007-05-29 |
| 1144322082 | Richard K Ward | Emergency Medicine | 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 | 2006-09-01 |
| 1942319116 | Lisa A. Babcock | Audiologist | 11223 N. Lakeshore Dr., Blair, NE 68008 | 2006-08-30 |
| 1841637139 | Paula J. Thielen-kocharov | Family Medicine | 812 N 22nd St, Blair, NE 68008 | 2013-05-28 |
| 1588849848 | Vision Care Clinic PC | Optometrist | 1526 Washington St, Blair, NE 68008 | 2008-01-07 |
| Find all providers in zip 68008 | ||||
| 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 |
|---|---|---|---|---|
| 1255374468 | Hogden Enterprises Inc | Pharmacy | 125 W Broadway St, Blair, WI 54616-9367 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871066159 | Pender Care Centre District Inc | Pharmacy | 1003 S Main St Ste 2, Emerson, NE 68733-3613 | 2019-01-09 |
| 1639640071 | Csr Company, Inc. | Pharmacy | 11701 Centennial Rd Ste 2and3, La Vista, NE 68128-5578 | 2018-12-11 |
| 1629543665 | Sakrx, LLC | Pharmacy | 808 N 27th St, Lincoln, NE 68503-2523 | 2018-10-05 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1336614379 | Sakrx, LLC | Pharmacy | 1413 S Washington St Ste 125, Papillion, NE 68046-4165 | 2018-10-05 |
| 1093206062 | Keystonerx Corporation, Inc. | Pharmacy | 223 Box Butte Ave, Alliance, NE 69301-3741 | 2018-05-24 |
| 1073001244 | Alliance Community Pharmacy | Pharmacy | 315 Box Butte Ave, Alliance, NE 69301-3341 | 2018-04-24 |
| 1487165452 | B&r Stores Inc | Pharmacy | 5460 S 56th St, Lincoln, NE 68516-1879 | 2017-10-18 |
| 1568999456 | Fremont Drugstore LLC | Pharmacy | 1900 E Military Ave Ste 220, Fremont, NE 68025-5433 | 2017-05-22 |
| 1083147557 | Lamberts Family Pharmacy LLC | Pharmacy | 814 1st St, Gibbon, NE 68840-6206 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
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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.