WALGREEN CO (NPI# 1407861594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407861594 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09547 |
| Practice Address |
1766 Coffeen Ave Sheridan WY 82801-5710 |
| Mailing Address |
1901 E Voorhees St Ms#790 Danville IL 61834-4509 |
| Practice Telephone | 3076741936 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-04-01 |
| 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 | R10002 | WY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5203930 | 01 | |
| WA | 208572 | 05 | |
| WY | 121928600 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09547 | 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 |
1766 COFFEEN AVE |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-5710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588040810 | Molly Lux | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2015-08-10 |
| 1447680384 | Gillian Grunkemeyer | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2013-11-13 |
| 1972936557 | Ryan Peterson | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2013-08-19 |
| 1659713048 | Walgreens | Clinic/Center | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2013-07-25 |
| 1609158179 | Jessica Meyer | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2011-09-12 |
| 1538448238 | Renessa Schwartz | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2011-08-11 |
| 1902113111 | Alisha Danielle Wright | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801 | 2010-09-09 |
| 1386959773 | Alison Kay Mcmanus | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2010-08-10 |
| 1902958804 | Ronald Paul Leblanc | Pharmacist | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| 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 |
|---|---|---|---|---|
| 1821612326 | Sheridan Family Pharmacy LLC | Pharmacy | 677 Heritage Drive, Sheridan, AR 72150-5000 | 2020-06-01 |
| 1518148055 | Ridleys Family Markets Inc | Pharmacy | 169 Coffeen Ave, Sheridan, WY 82801-4804 | 2007-11-26 |
| 1053338459 | Walmart Inc. | Pharmacy | 1308 S Rock St, Sheridan, AR 72150-7160 | 2006-07-16 |
| 1427089572 | K Mart Corp | Pharmacy | 2571 N Business 90, Sheridan, WY 82801-9227 | 2006-07-06 |
| 1023055571 | Albertsons LLC | Pharmacy | 1865 Coffeen Ave, Sheridan, WY 82801-5711 | 2006-06-01 |
| 1356320584 | Laya's Main Street Pharmacy | Pharmacy | 555 N Main St, Sheridan, WY 82801-3630 | 2006-01-16 |
| 1285709477 | Hospital Pharmacy Inc | Pharmacy | 1 S Main St, Sheridan, WY 82801-4221 | 2006-11-22 |
| 1104909696 | Butte Silver Bow Primary Health Care Clinic Inc | Pharmacy | 317 Madison St, Sheridan, MT 59749-9636 | 2006-10-20 |
| 1679505606 | Freds Stores of Tennessee Inc | Pharmacy | 624 S Rock St, Sheridan, AR 72150-7064 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122620 | William Hartnell | Pharmacy | 1176 Verlan Way, Cheyenne, WY 82009-3256 | 2020-04-13 |
| 1770043234 | Bvp LLC | Pharmacy | 950 N. Hwy 414, Mountain View, WY 82939 | 2019-03-21 |
| 1356809032 | Cowboy Drug | Pharmacy | 977 Gilchrist St, Wheatland, WY 82201-2931 | 2019-03-12 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1912462326 | South Lincoln Hospital District | Pharmacy | 2822 Wy 414, Lyman, WY 82937 | 2019-02-11 |
| 1649776642 | Community Pharmacies Inc | Pharmacy | 208 N Big Horn, Moorcroft, WY 82721 | 2018-03-30 |
| 1356797690 | Genoa Healthcare, LLC | Pharmacy | 1430 Wilkins Cir Ste 154, Casper, WY 82601-1336 | 2016-05-05 |
| 1841678935 | Our Valley Pharmacy | Pharmacy | 168 Us Highway 89, Suite D, Alpine, WY 83128 | 2015-05-11 |
| 1154661320 | Wyoming Medication Donation Program | Pharmacy | 2508 E Fox Farm Rd Ste 2a, Cheyenne, WY 82007-2559 | 2013-02-25 |
| 1568732501 | Bear Lake Community Health Center | Pharmacy | 75 Yellow Creek Rd # S-102, Evanston, WY 82930-5235 | 2012-01-09 |
| Find all providers with the same taxonomy | ||||
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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.