WALGREEN CO (NPI# 1417962663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417962663 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15080 |
| Practice Address |
5555 W 79th St Burbank IL 60459-1301 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7084993755 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-01-14 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 54011225 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1461906 | 01 | |
| IL | 362127039296 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #15080 | 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 |
5555 W 79TH ST |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201796 | Jessica Bachleda-prazec | Pharmacist | 5555 W 79th St, Burbank, IL 60459-1301 | 2020-09-24 |
| 1417478488 | Joanna Kaczmarczyk | Pharmacy Technician | 5555 W 79th St, Burbank, IL 60459-1301 | 2017-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| 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 |
|---|---|---|---|---|
| 1376972133 | Scripte Corporation | Pharmacy | 2907 W Empire Ave, Burbank, CA 91504-3108 | 2013-11-02 |
| 1225397086 | Burbank Village Compounding Pharmacy Inc | Pharmacy | 337 E Magnolia Blvd, Burbank, CA 91502 | 2012-05-14 |
| 1528298064 | Im Pharmacy Inc | Pharmacy | 10970 Sherman Way Ste 110, Burbank, CA 91505-1003 | 2009-07-17 |
| 1659527224 | Carries Pharmacy Inc | Pharmacy | 501 N Glenoaks Blvd, Burbank, CA 91502-1123 | 2008-08-14 |
| 1437281466 | Rafael Stein Inc | Pharmacy | 140 N San Fernando Blvd, Burbank, CA 91502-1207 | 2007-03-13 |
| 1336130186 | Noble Pharmacy Inc | Pharmacy | 321 E Alameda Blvd, Suite L, Burbank, CA 91502-3328 | 2005-11-01 |
| 1558350645 | Intravenous Therapy Service Inc | Pharmacy | 320 South Flower St, Burbank, CA 91502-2302 | 2005-10-20 |
| 1295731057 | De La Star Pharmacy,inc | Pharmacy | 1721 W Magnolia Blvd, Burbank, CA 91506-1839 | 2005-06-24 |
| 1417573460 | Abc Pharmaceutical Care Solutions, Apc | Pharmacy | 350 S Glenoaks Blvd, Burbank, CA 91502-1318 | 2020-06-24 |
| 1184124984 | St. Joseph Pharmacy, Inc. | Pharmacy | 2519 W Burbank Blvd, Burbank, CA 91505-2302 | 2018-02-19 |
| Find all providers in BURBANK | ||||
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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.