WALGREEN CO (NPI# 1407861503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407861503 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03796 |
| Practice Address |
6795 Calder Ave Beaumont TX 77706-6007 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4098603909 |
| Practice Fax Number | 4098610578 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-08 |
| 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 | 10641 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 462289 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4554172 | 01 | |
| TX | 468564 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03796 | 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 |
6795 CALDER AVE |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77706-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770191 | Mai N Nguyen | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2020-11-02 |
| 1194323048 | Lee Dunn | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2020-10-13 |
| 1568836096 | Trinh Lam | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2015-11-20 |
| 1922471127 | Kingsley Nwogu | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2015-11-10 |
| 1841683265 | Neh Nchang Nyamboli | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2015-03-10 |
| 1154661114 | Kelechi Charles Otegbulu | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2013-02-27 |
| 1013254473 | Sheriff Nii Adjei Kraku | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2013-01-04 |
| 1639449762 | Samuel Takyi | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2012-01-05 |
| 1912283037 | Mikn Ann Hanson | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2011-11-02 |
| 1922313840 | Jennifer S Goff | Pharmacist | 6795 Calder Ave, Beaumont, TX 77706-6007 | 2010-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982176293 | Allen Family Home Care LLC | In Home Supportive Care | 4055 Dowlen Rd Ste 112, Beaumont, TX 77706 | 2018-12-27 |
| 1730661174 | Joseph Pryor Ingram | Counselor | 5450 Folsom Road #3, Beaumont, TX 77706 | 2018-09-02 |
| 1336644582 | Jenny Lee Broaddus | Counselor | 8150 N. Major Dr., Beaumont, TX 77706 | 2018-03-29 |
| 1528584026 | Amanthia Peace Williams | Pedorthist | 3645 Calder Ave., Beaumont, TX 77706 | 2017-08-16 |
| 1356863286 | Nicole Denise Williams | Speech-Language Pathologist | 970 North 23rd Street, Beaumont, TX 77706 | 2017-07-12 |
| 1487038923 | Associates for Dental Health, Pllc | Dentist | 415 Dowlen Rd Ste A, Beaumont, TX 77706 | 2015-07-15 |
| 1508264532 | Rose Anne Essex | Dietitian, Registered | 3510 Charleston Ln, Beaumont, TX 77706 | 2014-12-08 |
| 1780001933 | C. Asteris, Inc. | Contractor | 1465 W. Lucas Dr., Beaumont, TX 77706 | 2014-03-26 |
| 1376985820 | Erica J Hayes M D P A | Preferred Provider Organization | 4a Bayou Brandt Drive, Beaumont, TX 77706 | 2013-07-25 |
| 1194162909 | Hezron Omanga | Pharmacist | 3585 N. Dowlen Road, Beaumont, TX 77706 | 2013-06-03 |
| Find all providers in zip 77706 | ||||
| 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 |
|---|---|---|---|---|
| 1447814306 | Beaumont Best Rx | Pharmacy | 8350 Phelan Blvd Ste F, Beaumont, TX 77706-5660 | 2019-04-25 |
| 1366941031 | Principle Pharmacy LLC | Pharmacy | 87 Interstate 10 N Ste 125, Beaumont, TX 77707-2548 | 2018-02-07 |
| 1215362298 | Bansi Corporation | Pharmacy | 1657 East 6th St, Beaumont, CA 92223 | 2013-09-09 |
| 1801026505 | Peccio Medi-mart Plus L L C | Pharmacy | 3035 College St, Beaumont, TX 77701-4640 | 2009-07-16 |
| 1962578500 | Retail Investors of Texas, Ltd. | Pharmacy | 655 E Lavaca, Beaumont, TX 77705-3897 | 2006-11-27 |
| 1275606709 | Kroger Texas L P | Pharmacy | 3845 Phelan Blvd, Beaumont, TX 77707-2243 | 2006-11-15 |
| 1609975929 | Brookshire Brothers Inc | Pharmacy | 15303 Highway 124, Beaumont, TX 77705-9127 | 2006-09-22 |
| 1629183660 | Shree Yogeshwar Inc | Pharmacy | 365 Forsythe St, Beaumont, TX 77701-3304 | 2006-08-20 |
| 1114382389 | Beaumont Drugs LLC | Pharmacy | 881 Highway 198, Beaumont, MS 39423-2070 | 2015-12-15 |
| 1154799336 | Pharmblue Texas LLC | Pharmacy | 1495 N 7th St, Beaumont, TX 77702-1345 | 2015-09-04 |
| Find all providers in BEAUMONT | ||||
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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.