WALGREEN CO (NPI# 1306256581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306256581 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15368 |
| Practice Address |
1080 Broadway Bayonne NJ 07002 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2016209175 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-12-06 |
| 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 | 28RS00735900 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0459046 | 05 | |
| NJ | NCPDP | 3148497 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #15368 | 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 |
1080 BROADWAY |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647645 | Fariha Choudhury | Pharmacist | 1080 Broadway, Bayonne, NJ 07002-4156 | 2020-10-19 |
| 1053925164 | Alice E Cho | Pharmacist | 1080 Broadway, Bayonne, NJ 07002-4156 | 2020-09-04 |
| 1114539194 | Priya Patel | Pharmacist | 1080 Broadway, Bayonne, NJ 07002-4156 | 2020-08-20 |
| 1952912651 | Rachel Anne D Santiago | Pharmacist | 1080 Broadway, Bayonne, NJ 07002-4156 | 2020-08-14 |
| 1972990935 | Xin Ya Zhou-deng | Pharmacist | 1080 Broadway, Bayonne, NJ 07002-4156 | 2015-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| 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 |
|---|---|---|---|---|
| 1710495379 | Bayonne Rx Apothecary Inc | Pharmacy | 490 Broadway, Bayonne, NJ 07002-3696 | 2018-01-17 |
| 1750808317 | Waheed Akbar | Pharmacy | 51 W 56th St, Bayonne, NJ 07002-4113 | 2017-08-24 |
| 1528428828 | Saint Mina & Saint Moses Pharmacy | Pharmacy | 779 Broadway, Bayonne, NJ 07002-3943 | 2016-02-29 |
| 1134476955 | Hmx Services LLC | Pharmacy | 558 Kennedy Blvd, Bayonne, NJ 07002-2620 | 2012-08-10 |
| 1912012790 | Lml Supermarkets Incorporated | Pharmacy | 583 Avenue C, Bayonne, NJ 07002-3881 | 2006-08-20 |
| 1366474215 | Stop and Shop Supermarket Co LLC | Pharmacy | 1 Lefante Way, Bayonne, NJ 07002-5070 | 2006-07-07 |
| 1700426954 | Total Care Pharmacy LLC | Pharmacy | 596 Broadway, Bayonne, NJ 07002-3819 | 2020-01-15 |
| 1528505351 | Broadway Care Pharmacy LLC | Pharmacy | 516 Broadway, Bayonne, NJ 07002-3712 | 2017-01-31 |
| 1154717767 | Rite Aid | Pharmacy | 1097 Broadway, Bayonne, NJ 07002-4126 | 2015-04-09 |
| 1215334701 | Ultra Care Pharmacy LLC | Pharmacy | 557 Broadway, Bayonne, NJ 07002-3829 | 2014-11-26 |
| Find all providers in BAYONNE | ||||
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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.