WALGREEN CO (NPI# 1447267521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447267521 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03613 |
| Practice Address |
4220 Manatee Ave W Bradenton FL 34205-1721 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9417491561 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-05-04 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 0004040 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 103081701 DME | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1003742 | 01 | |
| FL | 103081700 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03613 | 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 |
4220 MANATEE AVE W |
| City | BRADENTON |
| State | FL |
| Zip Code | 34205-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046072 | Daniel Kelsey | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2020-08-31 |
| 1861003915 | Thy Phuong Le | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2020-08-12 |
| 1184961872 | Nicholas Kricos | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2013-01-15 |
| 1558645150 | Teresa H Myers | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2011-10-01 |
| 1578846671 | Zachary Feldmann | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2011-09-25 |
| 1881977445 | Aimee Darling | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2011-09-21 |
| 1265714448 | Nancy Csubak | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2011-09-14 |
| 1225310618 | Audrey Jean Mills | Pharmacist | 4220 Manatee Ave W, Bradenton, FL 34205-1721 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811506 | Fenix Drug Store, LLC | Pharmacy | 527 13th St W, Bradenton, FL 34205 | 2019-10-02 |
| 1326534702 | Elaine Benitez Vazquez | Developmental Therapist | 3800 Lake Bayshore Dr Apt 513, Bradenton, FL 34205 | 2018-07-09 |
| 1437519402 | Kenneth G Bannister | Massage Therapist | 302 26th Avenue East, Apt 101, Bradenton, FL 34205 | 2016-03-03 |
| 1780028415 | Nic 4 Summerfield Leasing LLC | Assisted Living Facility | 3409 26th St. W., Bradenton, FL 34205 | 2013-04-24 |
| 1275803017 | Jennifer Geanne Washington | Massage Therapist | 1901 9th Ave W, Bradenton, FL 34205 | 2012-01-11 |
| 1629352745 | Susan K Stone | Acupuncturist | 2620 Manatee Avenue W., Suite C, Bradenton, FL 34205 | 2011-10-07 |
| 1588957609 | Palma Sola Therapies LLC | Physical Medicine & Rehabilitation | 515 36th St., Suite D, Bradenton, FL 34205 | 2011-05-23 |
| 1023254836 | Halle Kranz | Counselor | 239 301 Blvd W, Bradenton, FL 34205 | 2008-12-29 |
| 1235389537 | Aisha Mohsin Malik | Psychiatry & Neurology | 200 3rd Avenue West, Suite 110, Bradenton, FL 34205 | 2008-09-23 |
| 1689895146 | Brenda Marie Wilson | Counselor | Manatee Service Center, 600 301 Blvd - Suite 144, Bradenton, FL 34205 | 2007-05-01 |
| Find all providers in zip 34205 | ||||
| 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 |
|---|---|---|---|---|
| 1346754777 | Malooka Pharma Corp | Pharmacy | 8618 E State Road 70, Bradenton, FL 34202-3785 | 2017-11-21 |
| 1255770459 | Sun Pharmacy Services LLC | Pharmacy | 3549 1st St, Bradenton, FL 34208-4441 | 2013-06-20 |
| 1770668188 | Mcr Health, Inc. | Pharmacy | 1505 26th Ave E, Bradenton, FL 34208-7707 | 2006-10-25 |
| 1255414645 | Garrett's Pharmacies Inc | Pharmacy | 1804 59th St. West, Bradenton, FL 34209-4616 | 2006-10-23 |
| 1407873706 | Wal-mart Stores East Lp | Pharmacy | 6225 E State Road 64, Bradenton, FL 34208-6244 | 2006-07-16 |
| 1942240387 | Publix Super Markets Inc | Pharmacy | 7310 Manatee Ave W, Bradenton, FL 34209-3441 | 2006-06-07 |
| 1033159447 | Publix Super Markets Inc | Pharmacy | 5001 E State Road 64, Bradenton, FL 34208-5531 | 2006-06-07 |
| 1962449637 | Albertsons LLC | Pharmacy | 4651 Cortez Rd W, Bradenton, FL 34210-3146 | 2006-06-01 |
| 1992742423 | Albertsons LLC | Pharmacy | 7415 Manatee Ave W, Bradenton, FL 34209-3444 | 2006-06-01 |
| 1710477245 | Westminster Senior Care Pharmacy, LLC | Pharmacy | 1700 3rd Ave W, Bradenton, FL 34205-5946 | 2018-05-10 |
| Find all providers in BRADENTON | ||||
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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.