WALGREEN CO (NPI# 1417962416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417962416 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04245 |
| Practice Address |
5403 N Bend Rd Cincinnati OH 45247-7620 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 5136621459 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-10-30 |
| Authorized Official Name | MR. ALAN T. NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | 20090650 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0198272 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3608948 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04245 | 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 |
5403 N BEND RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45247-7620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154322170 | Walter Andrew Herbster | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2005-08-02 |
| 1619592854 | Zachary Joseph Obert | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2020-06-13 |
| 1104237569 | Latasha Marie Swafford | Nurse Practitioner | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2014-05-19 |
| 1952743171 | Andrea R Smith | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2013-07-30 |
| 1154607885 | Michelle Lynn Knapke | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2011-10-26 |
| 1073896692 | Joseph Paul Hoetker | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2011-09-20 |
| 1205118973 | Delbert Robinson | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2011-09-19 |
| 1285916957 | Richard Joseph Klingenbeck | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2011-09-19 |
| 1669753075 | Jennifer Lynn Stoneking | Pharmacist | 5403 N Bend Rd, Cincinnati, OH 45247-7620 | 2011-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194368118 | Kimberly Carol Downs | Licensed Practical Nurse | 6460 Harrison Avenue, Cincinnati, OH 45247 | 2019-10-22 |
| 1487130100 | Stacey G Coleman | Counselor | 6860 Harrison Ave, Suite 200, Cincinnati, OH 45247 | 2018-07-16 |
| 1922526524 | Tawnya Mcnulty | Occupational Therapy Assistant | 6165 Taylor Road, Cincinnati, OH 45247 | 2017-09-02 |
| 1942733704 | Mary Kathleen Herman | Dentist | 8111 Cheviot Rd Ste 102, Cincinnati, OH 45247 | 2017-04-09 |
| 1831501287 | Cesar Mel Froilan Cabigon | Internal Medicine | 8132 Fawn Lake Ct Loc 251, Cincinnati, OH 45247 | 2014-05-20 |
| 1447699459 | Mullaney Medical, Inc | Durable Medical Equipment & Medical Supplies | 5907 Cheviot Rd, Cincinnati, OH 45247 | 2013-06-24 |
| 1891035994 | Tara Mcintosh | Pharmacist | 6552 Harrison Rd, Cincinnati, OH 45247 | 2013-02-26 |
| 1629353677 | Teresa Zuidema | Pharmacist | 5403 North Bend Ave., Cincinnati, OH 45247 | 2011-10-20 |
| 1982842159 | Timothy John Kreimer | Dentist | 3560 Blue Rock Rd, Cincinnati, OH 45247 | 2009-01-27 |
| 1437219961 | Donald R Murdock | Dentist | 5420 North Bend Rd, Cincinnati, OH 45247 | 2006-12-12 |
| Find all providers in zip 45247 | ||||
| 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 |
|---|---|---|---|---|
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1457858201 | Bethesda Hospital Inc | Pharmacy | 4623 Wesley Ave Ste N, Cincinnati, OH 45212-2272 | 2018-04-09 |
| 1386152783 | Tri State Urologic Services Psc, Inc | Pharmacy | 2000 Joseph E Sanker Blvd Ste 210, Suite 210, Cincinnati, OH 45212-1979 | 2018-01-19 |
| 1699803353 | Hughes Pharmacy Inc | Pharmacy | 210 E Sharon Rd, Cincinnati, OH 45246-4529 | 2007-03-02 |
| 1598802068 | Roselawn Pharmacy Inc | Pharmacy | 7601 Reading Rd, Cincinnati, OH 45237-3203 | 2007-01-31 |
| 1801932413 | Adrien Industries Inc | Pharmacy | 7023 Miami Ave, Cincinnati, OH 45243-2636 | 2007-01-30 |
| 1598849622 | William E Keuper | Pharmacy | 1829 W Galbraith Rd, Cincinnati, OH 45239-4848 | 2006-10-25 |
| 1952411589 | Costco Wholesale Corporation | Pharmacy | 9691 Waterstone Blvd, Cincinnati, OH 45249 | 2006-08-30 |
| 1275646499 | Tri-state Compounding Pharmacy LLC | Pharmacy | 7715 Beechmont Ave, Cincinnati, OH 45255-4203 | 2006-08-15 |
| 1043225048 | Walgreen Co | Pharmacy | 3500 Reading Rd, Cincinnati, OH 45229-2604 | 2006-07-29 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45247 |
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.