WALGREENS (NPI# 1336556299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336556299 |
| Entity Type | Organization |
| Organization Name | WALGREENS |
| Practice Address |
10 Yvonne Ct Havana FL 32333-4986 |
| Practice Telephone | 8508961073 |
| Mailing Telephone | 8508961073 |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2014-07-12 |
| Authorized Official Name | DR. HARIVADANKUMAR BHAKTA (PHARMACIST) |
| Authorized Official Telephone | 8508961073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS50737 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1932585387 | Walgreens | Pharmacy | 214 Emerson St, Palo Alto, CA 94301-1056 | 2015-08-09 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1134503261 | Walgreens | Pharmacy | 333 Riverland Dr, Charleston, SC 29412-2345 | 2015-07-18 |
| 1255726964 | Walgreens | Pharmacy | 2221 Naomi St, Houston, TX 77054-3823 | 2015-03-31 |
| 1578957403 | Walgreens | Pharmacist | Cond Villa Caparra Plz, 580 Marginal Buchanan, Guaynabo, PR 00966-1731 | 2015-03-28 |
| 1427441716 | Walgreens | Contractor | 388 Beale St Apt 1305, Folsom, San Francisco, CA 94105-4422 | 2015-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALGREENS | 200 Wilmot Rd, Deerfield, IL 60015-4620 |
| Oregon Corporations, Companies and Business Names | WALGREENS | 302 Wilmot Rd Ms #3353, Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS #11526 | 302 Wilmot Rd., Ms #3353, Deerfield, IL 60015 |
| New York State Corporations | WALGREENS 6195, LLC | 314 Fifth Avenue, Floor 3, New York, New York 10001 |
| New York State Corporations | WALGREENS FEDERAL HEIGHTS INVESTORS, LLC | 322 Main Street, Port Washington, New York 11050 |
| New York State Corporations | WALGREENS FRESNO INVESTORS, LLC | 322 Main Street, Port Washington, Ny 11050 |
| Vermont Business Registrations | WALGREENS HEALTH INITIATIVES | 200 Wilmot Rd, Deerfield, IL 60015 |
| Oklahoma Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | Law, 200 Wilmot Rd., Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | 200 Wilmot Road, Deerfield, IL 60015 |
| Indiana Business Entities | WALGREENS HEALTHCARE PLUS, INC. | 300 Wilmot Road, Attn: Tax Dept., Deerfield, IL 60015 |
| Street Address |
10 YVONNE CT |
| City | HAVANA |
| State | FL |
| Zip Code | 32333-4986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831628270 | Teaeski Maynor | Homemaker | 609 Ne 3rd St., Havana, FL 32333 | 2017-06-08 |
| 1285057109 | Jessie Debron | Contractor | 919 Sw 4th St, Havana, FL 32333 | 2014-01-29 |
| 1881630127 | Marsha Perkins Hunter | Contractor | 905 General St, Havana, FL 32333 | 2006-06-22 |
| 1225449747 | Shalonda Murphy | Dental Hygienist | 604 E 5th Ave, Havana, FL 32333-1442 | 2014-05-19 |
| 1144212127 | Diana Lee Florin | Nurse Practitioner | 602 E 5th Ave, Havana, FL 32333-1442 | 2005-08-17 |
| 1952816225 | Neighborhood Medical Center | Clinic/Center | 604 E 5th Ave, Havana, FL 32333-1442 | 2017-12-08 |
| 1003357351 | Latoya Shemia Butler | Dentist | 604 E 5th Ave, Havana, FL 32333-1442 | 2017-03-19 |
| 1205247723 | Natasha Edwards | Dental Assistant | 604 E 5th Ave, Havana, FL 32333-1442 | 2014-05-19 |
| 1487768511 | Mark A. Newberry | Family Medicine | 602 E 5th Ave, Havana, FL 32333-1442 | 2006-08-18 |
| 1306146436 | Corey Williams | Registered Nurse | 106 Se 1st St, Havana, FL 32333-1606 | 2010-10-22 |
| Find all providers in zip 32333 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386066082 | Derek Smith | Pharmacist | 727 E Main St, Havana, IL 62644-1530 | 2014-01-15 |
| 1881836054 | John Wayne Glover Jr. | Pharmacist | 704 S Us Highway 27, Havana, FL 32333-2018 | 2009-04-02 |
| 1265641245 | Margaret Olive Collins | Pharmacist | 112 E 7th Ave, Havana, FL 32333-1620 | 2007-05-22 |
| 1629103577 | Charles Maynard Bembry | Pharmacist | 112 E 7th Ave, Havana, FL 32333-1620 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093932 | David S Joseph | Pharmacist | 4712 Grainary Ave, Tampa, FL 33624-2106 | 2020-11-05 |
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1801497987 | Sasira Malireddy-konala | Pharmacist | 2461 E Gulf-to-lake, Inverness, FL 34453 | 2020-11-04 |
| 1366043465 | Stefan Ferro | Pharmacist | 637 Whisper Cove Ct, Dunedin, FL 34698-8049 | 2020-11-04 |
| 1578164976 | Justin Gary Dugger | Pharmacist | 9218 Sr-228 E, Macclenny, FL 32063 | 2020-11-03 |
| 1740881184 | Edward J Kolbasiuk Jr. | Pharmacist | 13113 Darla Ct, Spring Hill, FL 34609-9320 | 2020-11-03 |
| 1942801287 | Richard Loutzenhiser | Pharmacist | 1215 Old Helena Rd, Winter Haven, FL 33884-2102 | 2020-11-03 |
| 1952902462 | Shahida Rafiq | Pharmacist | 1619 Delprado Blvd, Cape Coral, FL 33990 | 2020-11-03 |
| 1265033807 | Larry Box | Pharmacist | 100 Deerpath Ct, Oldsmar, FL 34677-5305 | 2020-11-02 |
| 1669073128 | Kandra Williams | Pharmacist | 10148 Kings Crossing Dr, Jacksonville, FL 32219-7621 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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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.