WALGREEN CO (NPI# 1497838015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497838015 |
Entity Type | Organization |
Organization Name | WALGREEN CO |
Other Organization Name | WALGREENS #15805 |
Practice Address |
738 S Gloster St Tupelo MS 38801-4932 |
Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
Practice Telephone | 6628440432 |
Practice Fax Number | 6628449853 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2017-03-16 |
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 | 333600000X | Pharmacy | 01443/01.2 | MS | Suppliers |
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | 01443012 | MS | Suppliers |
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OTHER ID NUMBER-COMMERCIAL NUMBER | 2511714 | 01 | |
MS | 330366 | 05 | |
MS | 00330366 | 05 | |
MS | MEDICAID DME | 01443012 | 01 |
MS | MEDICARE FLU | 870001323 | 01 |
Other Name | Type Code |
---|---|
WALGREENS #15805 | 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 |
738 S GLOSTER ST |
City | TUPELO |
State | MS |
Zip Code | 38801-4932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073966149 | Mary Margaret Via | Pharmacist | 738 S Gloster St, Tupelo, MS 38801-4932 | 2016-07-13 |
1659765642 | Julie Williams | Pharmacist | 738 S Gloster St, Tupelo, MS 38801-4932 | 2015-03-27 |
1174917991 | Christopher Johnson | Pharmacy Technician | 738 S Gloster St, Tupelo, MS 38801-4932 | 2015-03-19 |
1730573551 | George Worthen | Pharmacist | 738 S Gloster St, Tupelo, MS 38801-4932 | 2015-03-19 |
1174825061 | William H Austin | Pharmacist | 738 S Gloster St, Tupelo, MS 38801-4932 | 2010-11-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
Find all providers in zip 38801 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
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: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
1366803512 | Pharmacy Innovations LLC | Pharmacy | 715 Garfield St, Tupelo, MS 38801-6339 | 2016-03-16 |
1588042477 | Thomas Street Apothecary | Pharmacy | 86 S Thomas St, Tupelo, MS 38801-4355 | 2015-05-11 |
1740556646 | Rxs Tupelo, LLC | Pharmacy | 2801 West Main St., Suite A, Tupelo, MS 38801 | 2012-03-26 |
1487835724 | Walgreen Co | Pharmacy | 834 Barnes Crossing Rd, Tupelo, MS 38804-0909 | 2007-11-15 |
1356538557 | Pharmacy Management Group | Pharmacy | 2590 W Main St, Tupelo, MS 38801-3150 | 2007-10-02 |
1003038324 | Walgreen Co. | Pharmacy | 902 S Gloster St, Tupelo, MS 38801-6312 | 2007-05-03 |
1083227433 | Leslie Blaylock | Pharmacy | 817 W Main St, Tupelo, MS 38801-3630 | 2020-08-26 |
1093287369 | Pakmeds Pharmacy & Consulting, LLC | Pharmacy | 5060 Raymond Avenue, Tupelo, MS 38801 | 2018-12-26 |
1922371764 | Welch Family Pharmacy LLC | Pharmacy | 848 S Madison St, Tupelo, MS 38801-4905 | 2012-02-09 |
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.