WALGREEN CO (NPI# 1376563965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376563965 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09751 |
| Practice Address |
512 Green Blvd Aurora IN 47001 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 8129263424 |
| Practice Fax Number | 8129263451 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-08-22 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 333600000X | Pharmacy | 60006015A | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100540560 | 05 | |
| OH | 0306714 | 05 | |
| IN | 200828750A | 05 | |
| NCPDP | 1561061 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09751 | 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 |
512 GREEN BLVD |
| City | AURORA |
| State | IN |
| Zip Code | 47001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053693101 | James A Wehmeyer | Pharmacist | 512 Green Blvd, Aurora, IN 47001-1502 | 2011-09-14 |
| 1053692897 | Roberta A Robinson | Pharmacist | 512 Green Blvd, Aurora, IN 47001-1502 | 2011-09-07 |
| 1982984407 | Elizabeth A King | Pharmacist | 512 Green Blvd, Aurora, IN 47001-1502 | 2011-08-29 |
| 1497035968 | Anthony David Carvitti | Pharmacist | 512 Green Blvd, Aurora, IN 47001-1502 | 2011-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780792903 | Aleah Pendergraff Gibson | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2006-08-28 |
| 1609829480 | Advanced Vision Care Center, LLC | Optometrist | 100 Sycamore Estates Dr, Aurora, IN 47001 | 2006-05-19 |
| 1952839961 | Kimberly Myers | Nurse Practitioner | 204 Bridgeway St, Aurora, IN 47001 | 2017-06-03 |
| 1972890481 | Mary Anna Jansen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2011-07-05 |
| 1518978899 | Aurora Emergency Rescue, Inc. | Ambulance | 320 3rd St, Aurora, IN 47001 | 2006-08-11 |
| 1871969311 | Roberta Hall | Taxi | 136 Franklin St, Aurora, IN 47001-1018 | 2015-08-19 |
| 1598184111 | Debra Ann Dicarlo | Speech-Language Pathologist | 102 Conwell St, Aurora, IN 47001-1110 | 2014-04-10 |
| 1609994326 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 511 W Conwell St, Aurora, IN 47001-1137 | 2007-03-27 |
| 1982723300 | Voca In, LLC | Intermediate Care Facility, Mentally Retarded | 207 Hanover Ave, Aurora, IN 47001-1151 | 2007-03-28 |
| 1720625155 | James Charles Soukup Jr. | Massage Therapist | 310 4th St, Aurora, IN 47001-1206 | 2019-12-04 |
| Find all providers in zip 47001 | ||||
| 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 |
|---|---|---|---|---|
| 1891305108 | Apex Pharmacy LLC | Pharmacy | 12597 E Mississippi Ave Unit 300, Aurora, CO 80012-3460 | 2020-08-03 |
| 1144681354 | Benivex Inc | Pharmacy | 370 W Indian Trl, Aurora, IL 60506-2451 | 2016-03-15 |
| 1366889115 | Grace Health Pharmacy | Pharmacy | 3191 S Vaughn Way Unit 102, Unit 102, Aurora, CO 80014-3505 | 2013-06-03 |
| 1326330358 | Terrascripts LLC | Pharmacy | 13801 E Yale Ave Unit 119, Aurora, CO 80014-2339 | 2011-05-10 |
| 1992004766 | Highland Pharmacy Inc | Pharmacy | 1177 N. Highland Ave, Suite 203, Aurora, IL 60506 | 2011-03-19 |
| 1114221751 | Medshop Pharmacy LLC | Pharmacy | 3535 E New York St, Aurora, IL 60504-4465 | 2010-12-22 |
| 1255591780 | Metro Community Provider Network, Inc. | Pharmacy | 3292 Peoria Street, Aurora, CO 80110-1517 | 2008-06-09 |
| 1689833097 | Walgreen Co | Pharmacy | 15310 E Colfax Ave, Aurora, CO 80011-5806 | 2008-06-02 |
| 1114098126 | Rpcs, Inc | Pharmacy | 708 S Elliott Ave, Aurora, MO 65605-2210 | 2006-11-13 |
| 1407957848 | Family Pharmacy Inc | Pharmacy | 1718 S Chambers Rd, Aurora, CO 80017-5023 | 2006-09-26 |
| Find all providers in AURORA | ||||
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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.