WALGREEN CO


Address: 738 S Gloster St, Tupelo, MS 38801-4932
Phone: 6628440432

WALGREEN CO (NPI# 1497838015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
WALGREENS #15805 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 738 S GLOSTER ST
City TUPELO
State MS
Zip Code 38801-4932

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City TUPELO
Zip Code 38801

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Dataset Information

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.

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