WALGREEN CO (NPI# 1447696513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447696513 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | PHARMACY FOR LIVING WELL |
| Practice Address |
1313 S Harbor Blvd Bldg H-8 2nd Level Anaheim CA 92802-2309 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7142240167 |
| Practice Fax Number | 2177092344 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | KERMIT R CRAWFORD (PRESIDENT) |
| Authorized Official Telephone | 8473153154 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREEN CO |
| 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 | 51529 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NCPDP | 5647625 | 01 |
| Other Name | Type Code |
|---|---|
| Pharmacy for Living Well | 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 |
1313 S HARBOR BLVD BLDG H-8 2ND LEVEL |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92802-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205966199 | James P. Crossan | Neuromusculoskeletal Medicine & OMM | 1313 S Harbor Blvd, Disneyland Resort, Cast Health, Anaheim, CA 92802-2309 | 2007-03-07 |
| 1194357467 | Victoria Juliet Migliorini Pattison | Specialist/Technologist | 1313 S Harbor Blvd, Anaheim, CA 92802-2309 | 2020-02-05 |
| 1912558842 | Hiro Oda | Specialist/Technologist | 1313 S Harbor Blvd, Anaheim, CA 92802-2309 | 2019-09-23 |
| 1235602665 | Robert Tsai | Physical Therapist | 1313 S Harbor Blvd, Anaheim, CA 92802-2309 | 2019-01-08 |
| 1285072439 | James Gonzalez | Specialist/Technologist | 1313 S Harbor Blvd, Anaheim, CA 92802-2309 | 2013-06-10 |
| 1194844464 | Rochelle Andres Andres | Nurse Practitioner | 1313 S Harbor Blvd, Anaheim, CA 92802-2309 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1578102810 | Cristina King | Physician Assistant | 1850 S West Street, Anaheim, CA 92802 | 2020-01-03 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1962870634 | Paragon Compounding Pharmacy, Inc | Pharmacy | 1585 West Broadway Suite A, Anaheim, CA 92802 | 2015-09-11 |
| 1992118376 | Xia Li | Acupuncturist | 1640 W Ball Rd Apt 211, Anaheim, CA 92802 | 2014-06-03 |
| 1215208533 | Dyala D Nguyen | Pharmacist | 1848 S. Ninth St, Anaheim, CA 92802 | 2012-01-18 |
| 1548402597 | Tara Thuy Mai | Pharmacist | 2157 S Spinnaker St, Anaheim, CA 92802 | 2009-04-06 |
| 1710178827 | Florian Medical Clinic Inc. | Clinic/Center | 2090 S Euclid St #104, Anaheim, CA 92802 | 2007-08-05 |
| 1619192309 | Linda L. Schnaible | Marriage & Family Therapist | 1333 South Euclid Street, Anaheim, CA 92802 | 2007-04-16 |
| 1750505293 | Bt Morgan Dental Corp | Dentist | 2300 S. Harbor Blvd, Anaheim, CA 92802 | 2007-04-13 |
| Find all providers in zip 92802 | ||||
| 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 |
|---|---|---|---|---|
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1245739028 | Medi Ex Pharmacy, Inc | Pharmacy | 1067 N State College Blvd, Anaheim, CA 92806-2702 | 2018-02-07 |
| 1366993560 | Santa Maria Pharmacy Inc | Pharmacy | 1224 S Brookhurst St, Anaheim, CA 92804-5419 | 2016-10-23 |
| 1427498450 | Telnet-rx Inc | Pharmacy | 2129 E Ball Rd, Anaheim, CA 92806-5127 | 2013-07-05 |
| 1629334362 | Kaiser Foundation Health Plan Inc | Pharmacy | 3430 E La Palma Ave Bldg 2, Anaheim, CA 92806-2020 | 2012-04-06 |
| 1396034591 | Theresa Pharmacy Inc | Pharmacy | 9860 Katella Ave, Anaheim, CA 92804-6418 | 2011-03-29 |
| 1992027577 | Aum Pharmaceuticals Inc | Pharmacy | 869 South East Street, Anaheim, CA 92805 | 2010-02-23 |
| 1881783439 | Big A Drug Stores Inc | Pharmacy | 9922 Katella Ave, Garden Grove Town Center, Anaheim, CA 92804-6419 | 2006-10-12 |
| 1952490286 | Janet Pharmacy Enterprises Inc | Pharmacy | 5596 E La Palma Ave, Anaheim, CA 92807-2108 | 2006-10-12 |
| 1073524567 | Pharmacy Plus | Pharmacy | 1012 N Euclid St, Anaheim, CA 92801-3634 | 2006-08-10 |
| Find all providers in ANAHEIM | ||||
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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.