WALGREEN CO (NPI# 1295259158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295259158 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17134 |
| Practice Address |
36 Moosehead Trl Newport ME 04953-4108 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2073685754 |
| Practice Fax Number | 2073682541 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2019-08-23 |
| 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 |
|---|---|---|---|
| ME | 1295259158 | 05 | |
| ME | BOARD OF PHARMACY | PH50001598 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #17134 | Doing Business As Name - Organization |
| Walgreens #17134 | 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 |
36 MOOSEHEAD TRL |
| City | NEWPORT |
| State | ME |
| Zip Code | 04953-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629381181 | Mark T Tran | Pharmacist | 36 Moosehead Trl, Newport, ME 04953-4108 | 2010-07-26 |
| 1770916272 | Michael Anthony Shayne | Pharmacist | 36 Moosehead Trl, Newport, ME 04953-4108 | 2013-08-20 |
| 1396025425 | Andrew Mitchell Pulka | Pharmacist | 36 Moosehead Trl, Newport, ME 04953-4108 | 2011-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023621273 | Sebasticook Family Doctors | Clinic/Center | 291 Williams Road, Newport, ME 04953 | 2020-08-27 |
| 1225432123 | Katherine Trembley | Dental Hygienist | 3 Joslyn Street, Newport, ME 04953 | 2014-10-21 |
| 1912170481 | Dianna Lynn Fleischer | Massage Therapist | 134c Main Street, Newport, ME 04953 | 2008-04-07 |
| 1326260662 | Maine School Administrative District #48 | Local Education Agency (LEA) | 182 Moosehead Trail, Newport, ME 04953 | 2007-05-03 |
| 1831229962 | Robert J Kreider | Specialist/Technologist | 266 Williams Rd., Newport, ME 04953 | 2007-03-07 |
| 1508881582 | Bay View Physical Therapy Limited Partnership | Physical Therapist | Route 7, Moosehead Trail Professional Building, Newport, ME 04953 | 2006-07-12 |
| 1356300610 | Jennifer Stihilaire | Physical Therapy Assistant | Rt 7 Moosehead Trail, Professional Bldg, Newport, ME 04953 | 2006-03-23 |
| 1760450910 | Newport Family Practice Pa | Family Medicine | 26 Main Street, Suite 2, Newport, ME 04953 | 2006-03-14 |
| 1154398089 | Ben Thomas Hieronymus Jr. | Nurse Practitioner | 26 Main St, Ste 2, Newport, ME 04953 | 2006-02-28 |
| 1730310863 | Kristina S Meadow | Social Worker | 20 High St, Newport, ME 04953 | 2009-08-06 |
| Find all providers in zip 04953 | ||||
| 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 |
|---|---|---|---|---|
| 1023556834 | Shivaay Pllc | Pharmacy | 7505 Grafton Rd Ste 2, Newport, MI 48166-8939 | 2017-02-01 |
| 1780120691 | Rx Hound Inc | Pharmacy | 1117 Mclain St Ste 400, Newport, AR 72112 | 2017-01-17 |
| 1558603902 | Bingham Pharmacy LLC | Pharmacy | 7825 N Dixie Hwy Ste 105, Newport, MI 48166-9750 | 2013-03-25 |
| 1063741825 | Z Pharmacy | Pharmacy | 239 Sunapee St, Newport, NH 03773-1233 | 2009-12-08 |
| 1740321850 | Hometowne Pharmacy | Pharmacy | 468 Eastern Plaza Shopping Ctr, Newport, TN 37821-3108 | 2007-02-09 |
| 1588748628 | Usa Drug & Beauty Market Franchising Systems, Inc. | Pharmacy | 1920 Malcolm Ave, Newport, AR 72112-3628 | 2006-10-25 |
| 1255430112 | Seebers Idl Drug Inc | Pharmacy | 336 S Washington Ave, Newport, WA 99156-9671 | 2006-09-21 |
| 1881791630 | Naval Health Clinic New England | Pharmacy | Nhcne, Pharmacy 43 Smith Rd Bld 43, Newport, RI 02841 | 2006-09-20 |
| 1932206158 | Jabos Pharmacy Inc | Pharmacy | 602 East Broadway, Newport, TN 37821 | 2006-09-20 |
| 1134236318 | Kph Healthcare Services, Inc. | Pharmacy | 55 Shattuck Hill Rd, Newport, VT 05855-9831 | 2006-08-24 |
| Find all providers in NEWPORT | ||||
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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.