WALGREEN CO (NPI# 1346403045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346403045 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11538 |
| Practice Address |
4210 Augusta Rd Garden City GA 31408-2106 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 9129644311 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-01-11 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHRE009511 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1157545 | 01 | |
| GA | 515840693A | 05 | |
| SC | 7G3120 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #11538 | 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 |
4210 AUGUSTA RD |
| City | GARDEN CITY |
| State | GA |
| Zip Code | 31408-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033587217 | Megan Nicole Bunkley | Pharmacist | 4210 Augusta Rd, Garden City, GA 31408-2106 | 2015-09-04 |
| 1417324963 | Charles Rex Thompson II | Pharmacist | 4210 Augusta Rd, Garden City, GA 31408-2106 | 2015-08-31 |
| 1013290220 | Brenda Suzanne Sharp | Pharmacist | 4210 Augusta Rd, Garden City, GA 31408-2106 | 2011-09-23 |
| 1679870885 | Lori Lennon | Pharmacist | 4210 Augusta Rd, Garden City, GA 31408-2106 | 2011-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104046044 | Urban Family Chiropractic Life Ctr | Chiropractor | 10 Harrell Drive, Garden City, GA 31408 | 2007-04-25 |
| 1750509295 | Mary M. Elkins | Pharmacist | 8204 Augusta Road, Quick Rx, Garden City, GA 31408 | 2007-04-22 |
| 1871610196 | Paul R Cleveland | Physical Therapist | 109 Minus Avenue Suite C-10, Garden Grove Shopping Center, Garden City, GA 31408 | 2007-03-23 |
| 1518092014 | Occupational Health Centers of Georgia PC | Clinic/Center | 109 Minus Ave, Suite C-10, Garden City, GA 31408 | 2007-02-23 |
| 1669559753 | Quick Rx Drugs Inc | Pharmacy | 516 Hwy 80, Garden City, GA 31408 | 2006-11-01 |
| 1235758566 | Tulsi Patel | Physician Assistant | 109 Minus Avenue, Suite 10, Garden City, GA 31408 | 2020-04-16 |
| 1225432206 | Seth M Underwood | Chiropractor | 109 Minus Ave, Suite C-2, Garden City, GA 31408 | 2014-10-20 |
| 1336390640 | Concentra Health Services, Inc. | Clinic/Center | 109 Minus Avenue, Suite C-10, Garden City, GA 31408 | 2008-10-06 |
| 1831216738 | Brenda Howard | Counselor | 200 Gulfstream Rd, Garden City, GA 31408 | 2007-03-23 |
| 1588845655 | Richard Wallace Thomas | Family Medicine | 6b Crager Ct, Garden City, GA 31408-1314 | 2007-11-17 |
| Find all providers in zip 31408 | ||||
| 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 |
|---|---|---|---|---|
| 1467960658 | Firstcare Pharmacy Inc | Pharmacy | 217 Middlebelt Rd, Garden City, MI 48135-2726 | 2018-01-22 |
| 1265813620 | 520 Franklin Avenue Pharmacy | Pharmacy | 520 Franklin Ave Ste 103, Garden City, NY 11530-5814 | 2015-06-11 |
| 1164857918 | Allied Health Pharmacy, Limited | Pharmacy | 33161 Ford Rd, Garden City, MI 48135-1153 | 2013-09-12 |
| 1467701854 | Americare Compounding LLC | Pharmacy | 319 Nassau Blvd, Garden City, NY 11530-5313 | 2012-08-31 |
| 1619058948 | Professional Apothecary,inc | Pharmacy | 241 Inkster Rd, Garden City, MI 48135-4116 | 2006-10-17 |
| 1881794121 | Maxor National Pharmacy Services LLC | Pharmacy | 19 West Rd, Garden City, NY 11530-6720 | 2006-09-25 |
| 1316983224 | Fred Meyer Stores Inc | Pharmacy | 5425 W Chinden Blvd, Garden City, ID 83714-1468 | 2006-06-20 |
| 1417451774 | Garden City Pharmacy | Pharmacy | 28545 Ford Rd, Garden City, MI 48135-2843 | 2018-03-21 |
| 1255792388 | Guardian Pharmacy LLC | Pharmacy | 29866 Ford Rd, Garden City, MI 48135 | 2016-03-17 |
| 1457774366 | Litemed Rx Inc | Pharmacy | 5727 Inkster Rd, Garden City, MI 48135-2960 | 2014-01-28 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 31408 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.