WALGREEN CO (NPI# 1396750329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396750329 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #07312 |
| Practice Address |
4810 Rossville Blvd Chattanooga TN 37407-3524 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 4238676390 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-12-22 |
| 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 | 3909 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4436641 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4436641 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #07312 | 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 |
4810 ROSSVILLE BLVD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37407-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376935866 | Shannon Walraven | Pharmacist | 4810 Rossville Blvd, Chattanooga, TN 37407-3524 | 2015-02-20 |
| 1184906869 | Julius A. Piazza IIi | Pharmacist | 4810 Rossville Blvd, Chattanooga, TN 37407-3524 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348796 | Loving Hands Caregiver | Adult Companion | 2715 13th Ave, Chattanooga, TN 37407-1213 | 2018-12-29 |
| 1902274129 | Frank Adam Kilgore | Social Worker | 3000 3rd Ave Ste 300, Chattanooga, TN 37407-1422 | 2015-09-03 |
| 1972771707 | Univita of Tennessee, Inc. | Durable Medical Equipment & Medical Supplies | 2900 Dodds Ave, Chattanooga, TN 37407-1628 | 2008-02-14 |
| 1720557382 | Stephaine Turner | Home Health | 3511 Rossville Blvd, Chattanooga, TN 37407-2466 | 2018-11-13 |
| 1578022117 | Resilient Spread Development | Intermediate Care Facility, Mental Illness | 4315 13th Ave, Chattanooga, TN 37407-3104 | 2019-03-13 |
| 1639360332 | Page Family Practice, Inc. | Clinic/Center | 4802 14th Ave, Chattanooga, TN 37407-3414 | 2007-08-07 |
| 1306949003 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5011 State St # A, Chattanooga, TN 37407-3519 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538319 | The Pelvic Method Pllc | Physical Therapist | 852 Mccallie Ave, Chattanooga, TN 37403-2600 | 2020-11-04 |
| 1407457765 | Kaleisha Danyelle Dunbar | Private Vehicle | 8143 Iris Rd, Chattanooga, TN 37421-4276 | 2020-11-03 |
| 1265032924 | Staccato LLC | In Home Supportive Care | 122 Lee Parkway Dr Ste 402, Chattanooga, TN 37421-0813 | 2020-10-30 |
| 1316547474 | United Medical Lab LLC | Clinical Medical Laboratory | 3201 Easton Ave, Chattanooga, TN 37415-4715 | 2020-10-28 |
| 1659971067 | Mary E Kaylor | Registered Nurse | 9446 E Brainerd Rd, Chattanooga, TN 37421-3404 | 2020-10-27 |
| 1912506551 | Anna Simpson Jones | Nurse Practitioner | 1042 E 3rd St Ste 103, Chattanooga, TN 37403-2161 | 2020-10-24 |
| 1679172787 | Shelli M Hancock | Registered Nurse | 8928 Fuller Rd, Chattanooga, TN 37421-4437 | 2020-10-20 |
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1992303457 | Winnie Warun Kiri | Nurse Practitioner | 4715 Bonny Oaks Dr Apt 308, Chattanooga, TN 37416-3825 | 2020-10-15 |
| 1487261889 | Taylor Keasler Reed | Nurse Anesthetist, Certified Registered | 979 E 3rd St Ste C-325, Chattanooga, TN 37403-2136 | 2020-09-29 |
| Find all providers in CHATTANOOGA | ||||
| 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 |
|---|---|---|---|---|
| 1003450370 | Shreeya Drugs Inc | Pharmacy | 801 Broad St Ste 100, Chattanooga, TN 37402-2624 | 2019-10-30 |
| 1740723840 | Shakti Drugs | Pharmacy | 4531 Highway 58 Ste 105, Chattanooga, TN 37416-3010 | 2016-11-22 |
| 1447610019 | Sai Geeta Drug LLC | Pharmacy | 3602 Brainerd Rd, Chattanooga, TN 37411-3601 | 2016-02-25 |
| 1780757542 | Specialty Healthcare Partners, Inc. | Pharmacy | 6116 Shallowford Rd Ste 118, Chattanooga, TN 37421-7202 | 2006-11-17 |
| 1174616536 | Bi Lo LLC | Pharmacy | 4011 Brainerd Rd, Chattanooga, TN 37411-3724 | 2006-09-30 |
| 1447343801 | Bi Lo LLC | Pharmacy | 115 Browns Ferry Rd, Chattanooga, TN 37419-1713 | 2006-09-30 |
| 1477657435 | Kingwood Pharmacy Inc | Pharmacy | 3824 Ringgold Rd, Chattanooga, TN 37412-1640 | 2006-09-12 |
| 1992111306 | Publix Tennessee LLC | Pharmacy | 400 N Market St, Chattanooga, TN 37405-4433 | 2014-07-07 |
| 1124273230 | On Site Rx Inc | Pharmacy | 620 E 11th St, Chattanooga, TN 37403-3101 | 2008-11-18 |
| 1780724765 | Express Rx Inc | Pharmacy | 7032 E Brainerd Rd, Chattanooga, TN 37421-3881 | 2007-02-07 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37407 |
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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.