WALGREEN CO (NPI# 1407370042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407370042 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS # 19880 |
| Practice Address |
301 S Broad St Thomasville GA 31792-5546 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2292287658 |
| Practice Fax Number | 2292284503 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2019-03-12 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHRE010570 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000305291A | 05 | |
| GA | NCPDP | 1171999 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #1629 | Doing Business As Name - Organization |
| Walgreens # 19880 | 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 |
301 S BROAD ST |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-5546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457974727 | Anna Elise Bush | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2020-05-21 |
| 1164058426 | Brandi Synclair Crevar | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2020-03-19 |
| 1952944225 | Patricia B. Thomas | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2019-10-19 |
| 1508418112 | Iesha M Colla | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2019-07-13 |
| 1225551294 | Mitesh Indravadan Patel | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2017-07-21 |
| 1013326909 | Abhishek Amin | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2014-08-05 |
| 1639433311 | Melody Hope Parker | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2012-06-27 |
| 1033417399 | Percy Audrey Phillips Jr. | Pharmacist | 301 S Broad St, Thomasville, GA 31792-5546 | 2011-03-09 |
| 1457659070 | Michael A Hooks | Pharmacist | 301 S Broad St, Rite Aid # 1629, Thomasville, GA 31792-5546 | 2011-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| 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 |
|---|---|---|---|---|
| 1740538545 | Thomasville Family Pharmacy LLC | Pharmacy | 1116 Lexington Ave, Thomasville, NC 27360-3415 | 2012-08-27 |
| 1366519555 | Thoamsville Pharmacy | Pharmacy | 702 Randolph St, Thomasville, NC 27360-5713 | 2006-11-30 |
| 1194819078 | Murphy and Cox Pharmacy Inc | Pharmacy | 616 S Broad St, Thomasville, GA 31792-5551 | 2006-10-03 |
| 1093829061 | Family Medicine Pharmacy LLC | Pharmacy | 470 Safford Ave W, Thomasville, AL 36784-3112 | 2006-08-18 |
| 1417980426 | Advanced Medical Group, LLC | Pharmacy | 816 Gordon Ave, Thomasville, GA 31792-6611 | 2006-07-10 |
| 1295784270 | Advanced Medical Group LLC | Pharmacy | 108 S Broad St, Thomasville, GA 31792-5541 | 2006-05-08 |
| 1386637510 | Southwestern State Hospital | Pharmacy | 400 S Pinetree Blvd, Southwestern State Hospital Pharmacy, Thomasville, GA 31792-7128 | 2005-08-23 |
| 1215932082 | Chair City Pharmacy Incorporated | Pharmacy | 916 Randolph St Ste C, Thomasville, NC 27360-5729 | 2005-06-16 |
| 1871093328 | Rose City Pharmacy LLC | Pharmacy | 616 S Broad St, Thomasville, GA 31792-5551 | 2018-02-20 |
| 1568572253 | Kerr Drug Inc A Delaware Company | Pharmacy | 108 E Main St, Thomasville, NC 27360-4041 | 2006-08-30 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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.