WALGREEN CO (NPI# 1295250413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295250413 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17787 |
| Practice Address |
381 Cooley St Springfield MA 01128-1113 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4137834451 |
| Practice Fax Number | 4137829238 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2020-01-13 |
| 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 | DS90230 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0407071 | 05 |
| Other Name | Type Code |
|---|---|
| Rite Aid #10063 | Doing Business As Name - Organization |
| Rite Aid #17787 | Doing Business As Name - Organization |
| Walgreens #17787 | 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 |
381 COOLEY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01128-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639545056 | Aditiya Kumar | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2015-08-19 |
| 1821601105 | Kevin Patrick Keough | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2020-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664173 | Sai L Kadiyala | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2006-03-23 |
| 1609430792 | Mvne 1 PC | Family Medicine | 415 Cooley St, Springfield, MA 01128 | 2019-04-24 |
| 1215349188 | Ying-hsien Huang | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2014-05-28 |
| 1952432890 | Yolanda Rivera | Counselor | 14 Berard Cir, Springfield, MA 01128-1004 | 2007-03-09 |
| 1609420975 | Danielle Taylor Cassista | Occupational Therapist | 47 Teakwood Rd, Springfield, MA 01128-1056 | 2019-07-25 |
| 1164521449 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 381 Cooley Street, Springfield, MA 01128-1113 | 2006-09-22 |
| 1902123276 | Mvne1 P.C. | Clinic/Center | 415 Cooley St, Unit #3, Springfield, MA 01128-1113 | 2010-04-27 |
| 1871888727 | Toi Ladonne Moses | Occupational Therapist | 633 Cooley St, Springfield, MA 01128-1115 | 2011-06-17 |
| 1346391703 | Roland F Berthiaume | Chiropractor | 585 Cooley St, Springfield, MA 01128-1115 | 2007-01-14 |
| 1376824144 | Steven John Hooper | Pharmacist | 160 Ellendale Cir, Springfield, MA 01128-1122 | 2011-09-07 |
| Find all providers in zip 01128 | ||||
| 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 |
|---|---|---|---|---|
| 1326572215 | Kyrielynn LLC | Pharmacy | 4923 Security Dr, Springfield, OH 45503-5651 | 2017-04-18 |
| 1386016327 | Wal-mart Stores East Lp | Pharmacy | 444 W Grand St, Springfield, MO 65807-1406 | 2015-10-29 |
| 1386036713 | Quality Zone Pharmacy Corp | Pharmacy | 355 Belmont Ave, Springfield, MA 01108-2000 | 2015-02-23 |
| 1558606327 | Niemann Foods Inc | Pharmacy | 210 E Carpenter St, Springfield, IL 62702-5128 | 2012-12-05 |
| 1982957403 | Independence Holding Co LLC | Pharmacy | 201 N 5th St, Springfield, IL 62701-1001 | 2012-10-22 |
| 1235426057 | Holistic Pharmacy Services Inc | Pharmacy | 133 E North Grand Ave, Springfield, IL 62702-3859 | 2011-06-30 |
| 1295044840 | Smith & Peck Pharmacy Management Services Inc | Pharmacy | 242 River St, Springfield, VT 05156-2306 | 2010-09-30 |
| 1790006724 | Hometown Pharmacy LLC | Pharmacy | 27118 Highway 42, Springfield, LA 70462-7979 | 2010-06-14 |
| 1861638314 | Jmc Pharmacies, LLC. | Pharmacy | 2103 E Rockhurst St Ste 108, Springfield, MO 65802-6501 | 2009-01-05 |
| 1649331042 | Cr Springfield, LLC | Pharmacy | 1050 Upper Valley Pike, Springfield, OH 45504-4016 | 2006-12-12 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01128 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.