WALGREEN CO (NPI# 1336662600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336662600 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Practice Address |
1250 S Highway 27 Somerset KY 42501 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-07-19 |
| 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 |
|---|---|---|---|
| KY | BOARD OF PHARMACY | PO7916 | 01 |
| KY | 7100507170 | 05 |
| 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 |
1250 S HIGHWAY 27 |
| City | SOMERSET |
| State | KY |
| Zip Code | 42501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902924475 | Larry W Ellison | Pharmacist | 1250 S Highway 27, Somerset, KY 42501-3525 | 2007-03-26 |
| 1588012322 | Aaron Kyle Bruce | Pharmacist | 1250 S Highway 27, Somerset, KY 42501-3525 | 2016-06-02 |
| 1437442597 | John Ralph Wood | Pharmacist | 1250 S Highway 27, Somerset, KY 42501-3525 | 2011-05-24 |
| 1215059639 | Kunal Jayendra Patel | Pharmacist | 1250 S Highway 27, Somerset, KY 42501-3525 | 2007-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703149 | Allison N. Simpson | Psychologist | 2411 South Highway 27, Somerset, KY 42501 | 2019-04-26 |
| 1043790983 | Lakeside Primary Care, Psc | Nurse Practitioner | 6470 S Hwy 27, Somerset, KY 42501 | 2018-08-20 |
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1174052534 | Gina Marie West | Case Manager/Care Coordinator | 100 Hardin Lane Suite 3, Somerset, KY 42501 | 2017-06-08 |
| 1790216935 | Jackie Bruecken | Hearing Instrument Specialist | 3311 S. Highway 27, Somerset, KY 42501 | 2017-03-21 |
| 1609326404 | Adam Michael Prather | Physical Therapist | 2835 South Highway Us 27, Suite 286b, Somerset, KY 42501 | 2016-10-05 |
| 1568910909 | Kiosk Medicine Kentucky LLC | Nurse Practitioner | 90 Stonegate Ctr, Somerset, KY 42501 | 2016-09-14 |
| 1336591510 | Lake Cumberland Community Action Agency, Inc. | Respite Care | 255 S. Maple Street, Somerset, KY 42501 | 2016-07-12 |
| 1508214677 | Aaron Atwood | Counselor | 3810 S Highway 27 Ste 4, Somerset, KY 42501 | 2016-05-31 |
| 1598136897 | Elizabeth Miller | Occupational Therapist | 303 Second Street, Somerset, KY 42501 | 2015-10-13 |
| Find all providers in zip 42501 | ||||
| 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 |
|---|---|---|---|---|
| 1649718842 | Gap Drug LLC | Pharmacy | 233 Pumphouse Rd, Somerset, KY 42503-4347 | 2017-02-08 |
| 1306397948 | Upmc Somerset | Pharmacy | 225 S Center Ave Ste 1049, Somerset, PA 15501-2033 | 2016-10-19 |
| 1578877940 | King Pharmacy Inc | Pharmacy | 311 Bogle St, Somerset, KY 42503 | 2010-07-28 |
| 1558407163 | Alpha Pharmacy Corporation | Pharmacy | 500 Hamilton St, Somerset, NJ 08873-2664 | 2007-01-30 |
| 1407953334 | Chinraj Somerset LLC | Pharmacy | 900 Easton Ave Ste 26, Ste 26, Somerset, NJ 08873-1760 | 2006-09-20 |
| 1750398772 | Giant Eagle Inc | Pharmacy | 1606 N Center Ave, Somerset, PA 15501-7039 | 2006-08-02 |
| 1063427987 | Giant Eagle Inc | Pharmacy | 4192 Glades Pike, Somerset, PA 15501-8724 | 2006-07-29 |
| 1265464119 | Stop and Shop Supermarket Co LLC | Pharmacy | 940 Easton Ave, Somerset, NJ 08873-1745 | 2006-07-07 |
| 1942293246 | College Drugstore | Pharmacy | 3810 Heather Way, Somerset, KY 42503-9523 | 2005-08-23 |
| 1720691454 | Ericksons Diversified Corporation | Pharmacy | 107 Parent St, Somerset, WI 54025-7439 | 2020-08-24 |
| Find all providers in SOMERSET | ||||
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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.