WALGREEN CO (NPI# 1285157636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285157636 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17135 |
| Practice Address |
600 Main St Munfordville KY 42765-9424 |
| Mailing Address |
1901 E Voorhees St Danville IL 61834-4509 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-12-28 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100507360 | 05 | |
| KY | BOARD OF PHARMACY | PO7907 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #17135 | 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 |
600 MAIN ST |
| City | MUNFORDVILLE |
| State | KY |
| Zip Code | 42765-9424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518579051 | Jennifer Moore Sutherland | Pharmacist | 600 Main St, Munfordville, KY 42765-9424 | 2020-08-17 |
| 1205126232 | Jessica Lynn Cowan | Pharmacist | 600 Main St, Munfordville, KY 42765-9424 | 2011-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174132997 | All Smiles Therapy, LLC | Speech-Language Pathologist | 114 W Union Street, Munfordville, KY 42765 | 2020-07-28 |
| 1922385129 | Wanda Sexton | Counselor | 103 E. South St., Munfordville, KY 42765 | 2011-11-16 |
| 1215217328 | Brandy Gayle Pierce | Registered Nurse | 117 West South St., Munfordville, KY 42765 | 2011-08-19 |
| 1447588488 | Jackie A. Pandeya | Nurse Practitioner | 950 Main St., Munfordville, KY 42765 | 2009-12-03 |
| 1295955961 | Jill Lynn Humphrey | Speech-Language Pathologist | 3316 Macon Kessinger Rd, Munfordville, KY 42765 | 2007-04-26 |
| 1790801694 | Christina L Johns | Counselor | 118 West Union St., Munfordville, KY 42765 | 2007-03-22 |
| 1083741326 | Louisville Optometric Center, IIi, Psc | Optometrist | 815 Main St., Munfordville, KY 42765 | 2007-02-27 |
| 1245365527 | Anastasia Stacy Wyatt | Counselor | 118 West Union Street, Munfordville, KY 42765 | 2007-02-23 |
| 1306987847 | Laura A Gaines | Social Worker | 118 West Union St, Munfordville, KY 42765 | 2007-02-09 |
| 1427015890 | Hart County Ambulance Service,taxing District | Ambulance | 20 Ambulance Drive, Munfordville, KY 42765 | 2006-04-28 |
| Find all providers in zip 42765 | ||||
| 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 |
|---|---|---|---|---|
| 1003942087 | Clark Drugs Inc | Pharmacy | 232 Main St, Munfordville, KY 42765-9043 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893999 | Lewis County Primary Care Center, Inc | Pharmacy | 645 Interstate Drive, Grayson, KY 41143 | 2020-08-27 |
| 1851925986 | Bardwell Pharmacy LLC | Pharmacy | 178 Us Highway 51 N, Bardwell, KY 42023-9096 | 2020-02-27 |
| 1114563319 | Inspire Rx Pharmacy LLC | Pharmacy | 950 N Mulberry St Ste 100a, Elizabethtown, KY 42701-3629 | 2019-11-22 |
| 1629559224 | Villagemd Clinicals Pharmacy Kentucky | Pharmacy | 1000 S 12th St Ste A, Murray, KY 42071 | 2018-08-22 |
| 1376029025 | Elizabeth Prather | Pharmacy | 7220 Burlington Pike Ste I, Florence, KY 41042-1586 | 2018-07-16 |
| 1942791231 | Patek Pharmacy LLC | Pharmacy | 8600 Preston Hwy, Louisville, KY 40219-5306 | 2018-05-23 |
| 1184122160 | Saint Joseph Health System, Inc. | Pharmacy | 120 N Eagle Creek Dr Ste 101, Suite 101, Lexington, KY 40509-1827 | 2018-01-25 |
| 1326556853 | Jumeirah Global LLC | Pharmacy | 604 Crystal Pl Ste 3, La Grange, KY 40031-1297 | 2018-01-18 |
| 1487165478 | Tpc Martin Inc | Pharmacy | 1102 Kentucky Rt 122, Martin, KY 41649 | 2017-10-17 |
| 1326565755 | Aadhya Healthcare LLC | Pharmacy | 2713 Fort Campbell Blvd, Hopkinsville, KY 42240-4940 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | MUNFORDVILLE |
| Zip Code | 42765 |
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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.