WALGREEN CO (NPI# 1417470063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417470063 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #17475 |
| Practice Address |
108 Cornerstone Dr Williston VT 05495-4034 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8028781118 |
| Practice Fax Number | 8028729539 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2019-06-21 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1031621 | 05 | |
| BOARD OF PHARMACY | 038.0134027 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #17475 | Doing Business As Name - Organization |
| Walgreens #17475 | 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 |
108 CORNERSTONE DR |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-4034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992829097 | M Jacklynn Estes | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2007-03-16 |
| 1225445026 | Meagan Reynolds | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2014-07-14 |
| 1932527272 | Karen Wyman | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2014-04-03 |
| 1124450150 | Alexandra M Jones | Pharmacist | 108 Cornerstone Dr, Rite Aid, Williston, VT 05495-4034 | 2013-08-01 |
| 1952660748 | Waldemar Z. Wierzbicki | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2012-05-14 |
| 1265723001 | Garret H Huyer | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2011-04-27 |
| 1497054167 | Rite Aid | Pharmacist | 108 Cornerstone Dr, Williston, VT 05495-4034 | 2011-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| 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 |
|---|---|---|---|---|
| 1558376152 | Nd Pharmacy Inc | Pharmacy | 20 26th St E, Williston, ND 58801-3046 | 2006-07-30 |
| 1851337349 | Rivers Pharmacy Inc | Pharmacy | 12927 Main St, Williston, SC 29853-2321 | 2006-06-21 |
| 1255753869 | Pharmacy Direct Delivery LLC | Pharmacy | 434 Hurricane Ln Ste 200, Williston, VT 05495-2073 | 2014-01-16 |
| 1508299272 | G&g Rx Inc | Pharmacy | 317 Main St, Williston, ND 58801-5303 | 2013-08-16 |
| 1912227398 | Urja Pharmacy Inc | Pharmacy | 219 S Main St, Williston, FL 32696-2657 | 2010-06-08 |
| 1205923406 | Western Dakota Pharmacy, Inc. | Pharmacy | 1102 Main St, Williston, ND 58801-4233 | 2006-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455256 | Genoa Healthcare, LLC | Pharmacy | 72 Harrel St Ste A03, Morrisville, VT 05661-8526 | 2018-01-12 |
| 1497264899 | Chelsea Pharmacy LLC | Pharmacy | 356 Vt-110, Chelsea, VT 05038 | 2017-09-28 |
| 1821359282 | Pharmacy Health Services Inc | Pharmacy | 61 Pine St Ste 401, Bristol, VT 05443-1043 | 2012-06-01 |
| 1023312964 | Ludlow Pharmacy Inc | Pharmacy | 57 Pond St, Ludlow, VT 05149-1083 | 2011-01-07 |
| 1295044840 | Smith & Peck Pharmacy Management Services Inc | Pharmacy | 242 River St, Springfield, VT 05156-2306 | 2010-09-30 |
| 1366578114 | Kelley Pharmacy Inc | Pharmacy | 42 Timber Ln, South Burlington, VT 05403-7204 | 2007-02-26 |
| 1972648129 | The Drug Store Inc | Pharmacy | Village Square, Suite 7, Waitsfield, VT 05673-0391 | 2007-02-21 |
| 1124166624 | Jo-mar Inc. | Pharmacy | 921 Us Rt 302, Barre, VT 05641-4465 | 2007-02-05 |
| 1427112861 | University of Vermont Medical Center Inc | Pharmacy | 111 Colchester Ave # Mp3, Burlington, VT 05401-1473 | 2006-12-20 |
| 1669549150 | Browns Drug Store | Pharmacy | 40 Main, Derby Line, VT 05830 | 2006-11-29 |
| 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.