WALGREEN CO


Address: 12145 San Jose Blvd, Jacksonville, FL 32223-2636
Phone: 9042626808

WALGREEN CO (NPI# 1376550368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376550368
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #07350
Practice Address 12145 San Jose Blvd
Jacksonville
FL 32223-2636
Mailing Address 1901 E Voorhees St
Ms 790
Danville
IL 61834-4509
Practice Telephone 9042626808
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2006-08-02
Last Update Date 2018-05-08
Authorized Official Name ALYSSA SWEETEN (MANAGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 PH9567 FL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
FL 109521800 05
FL 109521801 DME 05
OTHER ID NUMBER-COMMERCIAL NUMBER 1055044 01

Other Provider/Organization Names

Other Name Type Code
WALGREENS #07350 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 12145 SAN JOSE BLVD
City JACKSONVILLE
State FL
Zip Code 32223-2636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063024735 Ashley G Mckoy Pharmacist 12145 San Jose Blvd, Jacksonville, FL 32223-2636 2020-08-23
1275042996 Anna Hoang Pharmacist 12145 San Jose Blvd, Jacksonville, FL 32223-2636 2017-09-26
1912288465 Neeraj Garg Pharmacist 12145 San Jose Blvd, Jacksonville, FL 32223-2636 2011-08-29
1811277379 Allison H Minter Pharmacist 12145 San Jose Blvd, Jacksonville, FL 32223-2636 2011-08-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679103600 Karen Gabriela Alexander Dietitian, Registered Ackerman Cancer Center, 10881 San Jose Blvd, Jacksonville, FL 32223 2020-01-17
1891250049 Thalia L Honea Occupational Therapist 12766 San Jose Blvd, Suite 716 & 717, Jacksonville, FL 32223 2019-02-01
1447758289 Stephanie Ann Murphy Marriage & Family Therapist 11543 Halethorpe Drive, Jacksonville, FL 32223 2018-01-26
1861948481 Nicole Gay Developmental Therapist 12276 San Jose Blvd, Ste 5, Jacksonville, FL 32223 2016-09-01
1740694439 Robyn K Mizelle Behavioral Analyst 12276 San Jose Blvd. Great Strides Rehabilitation, Suite 507, Jacksonville, FL 32223 2014-06-20
1184038010 Kelli Anne Cabrera Occupational Therapist 12350 San Jose Blvd, Jacksonville, FL 32223 2014-06-18
1891031910 Mandarin Family Medicine, P.a. Preferred Provider Organization 12276-210 San Jose Blvd, Jacksonville, FL 32223 2012-12-18
1114201811 Darshana Choksi Pharmacist 3663 Marbon Rd, Jacksonville, FL 32223 2011-09-30
1346539988 Harris Wilcox and Donovan Pa Optometrist 11790 San Jose Bl, Jacksonville, FL 32223 2011-04-05
1740517796 Beth A. Kelley Occupational Therapist 2640 Scott Mill Dr, Jacksonville, FL 32223 2009-11-12
Find all providers in zip 32223

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467954438 De2 LLC Pharmacy 2624 Atlantic Blvd Ste 3, Jacksonville, FL 32207-3633 2018-03-06
1174037063 Banyanites - 2 LLC Pharmacy 11048 Baymeadows Rd Unit 5, Jacksonville, FL 32256-9583 2017-11-30
1538600424 Can Community Health Inc. Pharmacy 4615 Philips Hwy, Suite 3, Jacksonville, FL 32207-9506 2017-03-13
1871039701 An&u Inc Pharmacy 1729 S Jackson St, Jacksonville, TX 75766-5832 2017-01-17
1114479821 Trucare Ltc, LLC Pharmacy 2671 Huffman Blvd, Jacksonville, FL 32246-4056 2016-10-28
1083161038 Cornerstone Pharmacy Jacksonville LLC Pharmacy 315 S James St, Jacksonville, AR 72076-4315 2016-09-07
1326591066 Sprx2 Inc Pharmacy 1201 Monument Rd Ste 100, Jacksonville, FL 32225-6445 2016-07-29
1568822377 Sprx Inc Pharmacy 3740 Saint Johns Bluff Rd S Ste 21, Jacksonville, FL 32224-2650 2016-03-07
1548648363 Caremax Pharmacy 725 LLC Pharmacy 5547 Normandy Blvd, Jacksonville, FL 32205-6246 2015-05-13
1538563580 Florida A and M University College of Pharmacy Pharmacy 2050 Art Museum Dr, Suite 200, Jacksonville, FL 32207-2595 2014-10-20
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32223

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Dataset Information

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.

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