WALGREEN CO (NPI# 1366965881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366965881 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #19885 |
| Practice Address |
2307 E Main St Cumberland KY 40823-1910 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2020-03-27 |
| Authorized Official Name | KIRA TAYLOR (MANAGER) |
| Authorized Official Telephone | 2177092351 |
| 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 | 7100508460 | 05 | |
| KY | BOARD OF PHARMACY | PO7879 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid | Doing Business As Name - Organization |
| Walgreens #19885 | 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 |
2307 E MAIN ST |
| City | CUMBERLAND |
| State | KY |
| Zip Code | 40823-1910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538358031 | Danette Conley | Pharmacist | 2307 E Main St, Cumberland, KY 40823-1910 | 2007-10-20 |
| 1912313677 | Daniel E. Howard | Pharmacist | 2307 E Main St, Cumberland, KY 40823-1910 | 2014-07-02 |
| 1962816959 | David Scott Berman | Pharmacist | 2307 E Main St, Cumberland, KY 40823-1910 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801002977 | Dinah B Day | Case Manager/Care Coordinator | 4413 Cloverlick Rd, Cumberland, KY 40823 | 2007-05-15 |
| 1891890539 | Appalachian Regional Healthcare Inc | Pharmacy | 18880 N Us 119, Cumberland, KY 40823 | 2006-09-14 |
| 1770538613 | Cumberland Drug Company, Inc | Durable Medical Equipment & Medical Supplies | 1803 East Main Street, Cumberland, KY 40823 | 2006-05-22 |
| 1497212302 | Tracey Nycole Blakley | Nurse Practitioner | 1620 E Main St, Cumberland, KY 40823 | 2019-02-27 |
| 1366561797 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823 | 2007-03-28 |
| 1720112691 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 18880 N Us Highway 119, Cumberland, KY 40823 | 2007-03-15 |
| 1629232673 | Michael A Sergent | Occupational Therapist | 19101 Us 119, Britthaven of Tri-cities, Cumberland, KY 40823-0079 | 2008-07-17 |
| 1366488934 | Homer Richard Fortney | Dentist | 110 Myers Street, Cumberland, KY 40823-0426 | 2006-06-21 |
| 1518586478 | Justin Newsome | Nurse Practitioner | 209 Field St, Cumberland, KY 40823-1407 | 2020-04-10 |
| 1326415084 | Chad Fields | Occupational Therapist | 222 Field St, Cumberland, KY 40823-1408 | 2015-08-28 |
| Find all providers in zip 40823 | ||||
| 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 |
|---|---|---|---|---|
| 1750441994 | Chapel Pharmacy Inc | Pharmacy | 2081 Diamond Hill Rd, Cumberland, RI 02864-5123 | 2006-12-11 |
| 1891890539 | Appalachian Regional Healthcare Inc | Pharmacy | 18880 N Us 119, Cumberland, KY 40823 | 2006-09-14 |
| 1477656510 | Johnson Family Pharmacy Inc | Pharmacy | 1756 Anderson Hwy, Cumberland, VA 23040 | 2006-09-06 |
| 1760594683 | D & E Inc. | Pharmacy | 1296 2nd Ave, Cumberland, WI 54829-7210 | 2006-08-31 |
| 1467484469 | Giant Food Stores, LLC | Pharmacy | 739 Park St, Cumberland, MD 21502-3172 | 2006-07-07 |
| 1285666149 | Stop and Shop Supermarket Co LLC | Pharmacy | 70 Mendon Rd, Cumberland, RI 02864-5327 | 2006-07-07 |
| 1619907623 | T B Pharmaceuticals Inc | Pharmacy | 1100 W Industrial Blvd, Cumberland, MD 21502-4412 | 2006-07-04 |
| 1528032018 | Bedford Road Pharmacy, Inc. | Pharmacy | 11306 Bedford Rd Ne, Cumberland, MD 21502-6802 | 2006-02-14 |
| 1558360040 | Bank Pharmaceuticals | Pharmacy | 1101 E Oldtown Road, Cumberland, MD 21502 | 2005-07-18 |
| 1851390496 | Island City Apothecary Ltd | Pharmacy | 1470 Webb St, Cumberland, WI 54829-9187 | 2005-07-15 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 40823 |
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.