WALGREEN CO (NPI# 1487835724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487835724 |
Entity Type | Organization |
Organization Name | WALGREEN CO |
Other Organization Name | WALGREENS #11290 |
Practice Address |
834 Barnes Crossing Rd Tupelo MS 38804-0909 |
Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
Practice Telephone | 6628408462 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2007-11-15 |
Last Update Date | 2016-01-11 |
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 | 07576 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 08334270 | 05 | |
AL | 1487835724 | 05 | |
MS | MS MEDICAID DME | 01476845 | 01 |
NCPDP | 2587028 | 01 |
Other Name | Type Code |
---|---|
Walgreens #11290 | 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 |
834 BARNES CROSSING RD |
City | TUPELO |
State | MS |
Zip Code | 38804-0909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417568510 | Tyler Clark Mclaurin | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2020-08-12 |
1487202024 | Clarence Edward Henley IIi | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2019-08-27 |
1174176499 | Victoria Ellis Henley | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2019-07-17 |
1326690876 | Alex Gattis | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2019-07-15 |
1861947939 | Anna Claire White | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2016-08-18 |
1932505542 | Amy Weathers | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2014-11-08 |
1538442884 | Laurie A Bailey | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2011-09-22 |
1003199639 | Millie Dyson | Pharmacist | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2011-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
Find all providers in zip 38804 |
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 |
---|---|---|---|---|
1457973067 | Thomas Street Compounding Pharmacy | Pharmacy | 115 N Thomas St Ste G, Tupelo, MS 38801-3082 | 2020-05-18 |
1346710720 | Tupelo Specialty Pharmacy, LLC | Pharmacy | 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 | 2018-11-28 |
1427489517 | Northeast Mental Health-mental Retardation Commission | Pharmacy | 499 Gloster Creek Vlg Ste A3, Tupelo, MS 38801-4600 | 2013-11-27 |
1811247356 | Burns Inc | Pharmacy | 1244 E Main St, Tupelo, MS 38804-2952 | 2012-09-12 |
1497838015 | Walgreen Co | Pharmacy | 738 S Gloster St, Tupelo, MS 38801-4932 | 2006-10-24 |
1255342762 | Ltc Pharmacy Solutions LLC | Pharmacy | 2801 W Main St, Tupelo, MS 38801-3001 | 2006-08-10 |
1295711281 | North Ms. Medical Center Outpatient Pharmacy | Pharmacy | 609 Garfield St, Suite A, Tupelo, MS 38801-6337 | 2005-12-21 |
1255698908 | Rxs Pm Retail | Pharmacy | 2801 W Main St, Tupelo, MS 38801-3001 | 2012-04-19 |
1346305497 | East Heights Pharmacy Inc | Pharmacy | 1001 E Main St, Tupelo, MS 38804-2829 | 2006-12-27 |
1316975378 | Freds Stores of Tennessee Inc | Pharmacy | 809 Varsity Dr, Tupelo, MS 38801-4615 | 2006-06-29 |
Find all providers in TUPELO |
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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.