WALGREENS (NPI# 1417383290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417383290 |
| Entity Type | Organization |
| Organization Name | WALGREENS |
| Practice Address |
1525 W Kearny Springfield MO 65803 |
| Mailing Address |
1950 S Scenic Ave Apt # H 308 Springfield MO 65807 |
| Practice Telephone | 4178624099 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |
| Authorized Official Name | MR. KRUTIK J PATEK (PHARMACIST) |
| Authorized Official Telephone | 7326923008 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1932585387 | Walgreens | Pharmacy | 214 Emerson St, Palo Alto, CA 94301-1056 | 2015-08-09 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1134503261 | Walgreens | Pharmacy | 333 Riverland Dr, Charleston, SC 29412-2345 | 2015-07-18 |
| 1255726964 | Walgreens | Pharmacy | 2221 Naomi St, Houston, TX 77054-3823 | 2015-03-31 |
| 1578957403 | Walgreens | Pharmacist | Cond Villa Caparra Plz, 580 Marginal Buchanan, Guaynabo, PR 00966-1731 | 2015-03-28 |
| 1427441716 | Walgreens | Contractor | 388 Beale St Apt 1305, Folsom, San Francisco, CA 94105-4422 | 2015-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALGREENS | 200 Wilmot Rd, Deerfield, IL 60015-4620 |
| Oregon Corporations, Companies and Business Names | WALGREENS | 302 Wilmot Rd Ms #3353, Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS #11526 | 302 Wilmot Rd., Ms #3353, Deerfield, IL 60015 |
| New York State Corporations | WALGREENS 6195, LLC | 314 Fifth Avenue, Floor 3, New York, New York 10001 |
| New York State Corporations | WALGREENS FEDERAL HEIGHTS INVESTORS, LLC | 322 Main Street, Port Washington, New York 11050 |
| Vermont Business Registrations | WALGREENS HEALTH INITIATIVES | 200 Wilmot Rd, Deerfield, IL 60015 |
| Oklahoma Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | Law, 200 Wilmot Rd., Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | 200 Wilmot Road, Deerfield, IL 60015 |
| Colorado Business Entities | Walgreens Home Care, Inc. | 104 Wilmot Rd., Deerfield, IL 60015 |
| Massachusetts Corporations | WALGREENS HOME CARE, INC. | 300 Wilmot Road, Deerfield, IL 60015 |
| Street Address |
1525 W KEARNY |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1285145730 | Meghan Roetto | Social Worker | 2130 N Glenstone, Springfield, MO 65803 | 2017-10-23 |
| 1346751757 | John B Lehn | Pharmacist | 2625 N Kansas Expressway, Springfield, MO 65803 | 2017-10-12 |
| 1558805754 | Bhg Xliii, LLC | Clinic/Center | 2551 W Kearney St, Springfield, MO 65803 | 2016-12-07 |
| 1962856187 | Karissa Knight | Counselor | 2438 N Cottage, Springfield, MO 65803 | 2016-04-14 |
| 1790123479 | Sarah Fontana | Dentist | 2241 N. Glenstone Ave., Springfield, MO 65803 | 2013-06-04 |
| 1942499587 | Jeci Mora Ramos Jr. | Hearing Instrument Specialist | 2133 N Nettleton, Springfield, MO 65803 | 2007-10-19 |
| 1598891012 | Dwight Richard Daugherty | Dentist | 3016 N Kentwood, Springfield, MO 65803 | 2007-02-26 |
| 1144388224 | Bradley Douglas Graf | Dentist | 1410 E Kearney, Suite A, Springfield, MO 65803 | 2006-12-04 |
| 1962575662 | National Hearing Centers | Audiologist-Hearing Aid Fitter | 2825 N. Kansas Expwy, Springfield, MO 65803 | 2006-11-17 |
| Find all providers in zip 65803 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518500107 | Radame Antonio Jusino | Community/Behavioral Health | 6 Loretta St, Springfield, MA 01118-1045 | 2019-10-25 |
| 1639710577 | Southeast Wellness Works | Community/Behavioral Health | 189 E 9th Ave, Springfield, CO 81073-1601 | 2019-10-02 |
| 1083260798 | Rite Care Home Health Services, LLC | Community/Behavioral Health | 9420 Park Hunt Ct, Springfield, VA 22153-1351 | 2019-08-18 |
| 1972159770 | Dr. Wadeson, LLC | Community/Behavioral Health | 5133 S Campbell Ave Ste 204, Springfield, MO 65810-2437 | 2019-08-16 |
| 1407408081 | Treasure of Hope Florida Inc | Community/Behavioral Health | 44 Edgewood St, Springfield, MA 01109-3025 | 2019-07-12 |
| 1013577642 | Latino Counseling Center, Inc | Community/Behavioral Health | 125 Liberty St Ste 100, Springfield, MA 01103-1109 | 2019-06-17 |
| 1871157768 | Able Autism Care LLC | Community/Behavioral Health | 54 Bissell St, Springfield, MA 01119-1451 | 2019-04-25 |
| 1528535770 | Tenea Claudette Davis | Community/Behavioral Health | 122 Chestnut St, Springfield, MA 01103-1538 | 2018-10-25 |
| 1982195707 | Asra Mir | Community/Behavioral Health | 140 High St Ste 2, Springfield, MA 01105-1442 | 2018-05-29 |
| 1558895375 | Legacy Counseling LLC | Community/Behavioral Health | 6564 Loisdale Ct Ste 600, Springfield, VA 22150-1829 | 2017-04-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65803 |
Please comment or provide details below to improve the information on WALGREENS.
| 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.