WALGREEN CO (NPI# 1306851340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306851340 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04624 |
| Practice Address |
1461 Robert B Cullum Blvd Dallas TX 75210-2404 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2144210750 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-10 |
| 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 | 19066 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 464203 | 05 | |
| TX | 468107 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4500193 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04624 | 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 |
1461 ROBERT B CULLUM BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75210-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029728 | Sophia Lee | Pharmacist | 1461 Robert B Cullum Blvd, Dallas, TX 75210-2404 | 2020-06-28 |
| 1972830560 | Wai Yan Wun | Pharmacist | 1461 Robert B Cullum Blvd, Dallas, TX 75210-2404 | 2009-11-03 |
| 1821324674 | Warren Calvin Lee | Pharmacist | 1461 Robert B Cullum Blvd, Dallas, TX 75210-2404 | 2009-10-29 |
| 1760718597 | Stanley R Thomas | Pharmacist | 1461 Robert B Cullum Blvd, Dallas, TX 75210-2404 | 2009-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962659086 | Edgar Quinagoran Bacud | Physical Therapist | 4206 South Fitzhugh Avenue, Dallas, TX 75210 | 2008-08-20 |
| 1912189861 | Happy Care Adult Day Center, LLC | Clinic/Center | 4915 Brashear St., Dallas, TX 75210 | 2007-12-03 |
| 1477537843 | Deborah G. Morris-harris | Internal Medicine | 4922 Spring Avenue, Prism Health North Texas, Dallas, TX 75210 | 2005-11-30 |
| 1235283839 | Kay Alyson Thompson | Internal Medicine | 4600 Scyene Road, Hatcher Station Health Center, Dallas, TX 75210 | 2007-01-22 |
| 1790382596 | Southern Sector Health Initiative | Clinic/Center | 4500 Spring Ave Ste 142, Dallas, TX 75210-1350 | 2020-10-05 |
| 1003456583 | Southern Sector Health Initiative | Preventive Medicine | 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 | 2020-01-13 |
| 1174515936 | Brenda A Hamilton | Nurse Practitioner | 4500 Spring Ave, Dallas, TX 75210-1350 | 2005-08-18 |
| 1043828403 | Anabelia Aguillon | Dietitian, Registered | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-07-21 |
| 1144851254 | Andrea Harris | Nutritionist | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-01-28 |
| 1366072068 | Kirsten Granberry | Dietitian, Registered | 4500 Spring Ave, Dallas, TX 75210-1350 | 2020-01-22 |
| Find all providers in zip 75210 | ||||
| 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 |
|---|---|---|---|---|
| 1194349431 | Southern Star Pharmacy 002 | Pharmacy | 7125 Marvin D Love Fwy Ste 105, Dallas, TX 75237-3111 | 2020-06-02 |
| 1386264547 | Amc Pharmacy Inc. | Pharmacy | 655 W Illinois Ave Ste 918, Dallas, TX 75224-1814 | 2020-04-17 |
| 1457918112 | Soch Pharmacy | Pharmacy | 8067 W Virginia Dr # 200, Dallas, TX 75237-3767 | 2019-05-28 |
| 1780159715 | North G Rx LLC | Pharmacy | 9415 Bruton Rd Ste 3104, Dallas, TX 75217-2647 | 2018-10-05 |
| 1699256826 | Arete Group LLC | Pharmacy | 1555 W Mockingbird Ln Ste 208, Dallas, TX 75235-5019 | 2018-08-25 |
| 1427535780 | Medicinesplus LLC | Pharmacy | 2603 Oak Lawn Ave Ste 102, Dallas, TX 75219-4059 | 2018-07-19 |
| 1346727609 | Medicinesplus Integrative Care LLC | Pharmacy | 2603 Oak Lawn Ave Ste 101a, Dallas, TX 75219-4059 | 2018-07-19 |
| 1578093183 | Doughertys Ltc Pharmacy LLC | Pharmacy | 5959 Royal Ln Ste 513, Dallas, TX 75230-3856 | 2017-06-15 |
| 1851838387 | Patmos Consulting LLC | Pharmacy | 5445 La Sierra Dr Ste 202, Dallas, TX 75231-4176 | 2017-01-23 |
| 1518419886 | Rx Professionals LLC | Pharmacy | 1709 Martin Luther King Jr Blvd Ste 2, Dallas, TX 75215-3281 | 2016-11-02 |
| Find all providers in DALLAS | ||||
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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.