WALGREEN CO (NPI# 1316952427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316952427 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #02171 |
| Practice Address |
700 E Derenne Ave Savannah GA 31405-6716 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9123544887 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | PHRE008840 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1151909 | 01 | |
| GA | 917370406C | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02171 | 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 |
700 E DERENNE AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497367775 | Phillip Hartman | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2020-08-19 |
| 1932680964 | Armon Shawn Dadkhah | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2018-08-28 |
| 1417460189 | Melvin Alex Dixon IIi | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2017-11-15 |
| 1497131841 | Kevin Nguyen | Student in an Organized Health Care Education/Training Program | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2015-08-08 |
| 1538560594 | Angela Wampler | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2014-09-09 |
| 1982986832 | Lisa C Smith | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2011-09-16 |
| 1124300116 | Brian Alexander Armstrong | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2011-09-15 |
| 1669752184 | Ashley Timms | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2011-08-29 |
| 1801176342 | Marian L Bell | Pharmacist | 700 E Derenne Ave, Savannah, GA 31405-6716 | 2011-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| 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 |
|---|---|---|---|---|
| 1700419454 | Janus Rx | Pharmacy | 836 E 65th St Ste 42, Savannah, GA 31405-4496 | 2020-02-20 |
| 1144674193 | Pavan Putra Pharmacy Inc | Pharmacy | 418 W Broughton St, Savannah, GA 31401-3218 | 2016-04-15 |
| 1962873521 | Wal-mart Stores East Lp | Pharmacy | 10530 Abercorn St, Savannah, GA 31419-1140 | 2015-10-08 |
| 1487952453 | Infuscience South Carolina LLC | Pharmacy | 7001 Chatham Center Dr, Suite 2000, Savannah, GA 31405-1342 | 2011-03-01 |
| 1942325402 | Summit Cancer Care PC | Pharmacy | 836 E 65th St Ste 4, Savannah, GA 31405-4491 | 2007-03-20 |
| 1508994260 | Robert Higginbottom | Pharmacy | 765 Florence Rd Ste B, Savannah, TN 38372-5219 | 2007-03-02 |
| 1033224068 | Georgetown Drug, LLC | Pharmacy | 1080 King George Blvd, Savannah, GA 31419-9569 | 2006-08-20 |
| 1548374432 | Family Discount Phy and Wellness Ctr | Pharmacy | 985 Wayne Rd Apt B, Savannah, TN 38372-2325 | 2006-08-18 |
| 1326070350 | Freds Stores of Tennessee Inc | Pharmacy | 1240 Florence Rd, Savannah, TN 38372-3418 | 2006-07-07 |
| 1912483611 | Greeson Rx | Pharmacy | 824 E Derenne Ave, Savannah, GA 31405-6717 | 2018-07-16 |
| Find all providers in SAVANNAH | ||||
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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.