WALGREEN CO. (NPI# 1528258522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528258522 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #10494 |
| Practice Address |
100 Rhode Island Ave Rochester PA 15074-2214 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7247742105 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2019-01-31 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PP481753 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 3988738 | 01 | |
| PA | 1007669700117 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #10494 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
| 1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
| 1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
| 1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
| 1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
| 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 |
100 RHODE ISLAND AVE |
| City | ROCHESTER |
| State | PA |
| Zip Code | 15074-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922050384 | Take Care Health Pennsylvania, PC | Nurse Practitioner | 100 Rhode Island Ave, Rochester, PA 15074-2214 | 2006-05-16 |
| 1437432531 | Stacy Ann Martella | Pharmacist | 100 Rhode Island Ave, Rochester, PA 15074-2214 | 2011-09-25 |
| 1962783555 | Brandy Marie Dechellis | Pharmacist | 100 Rhode Island Ave, Rochester, PA 15074-2214 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922657162 | Leslie C. Yaccich | Technician | 742 Mclean Street, Rochester, PA 15074 | 2019-09-10 |
| 1366969339 | Jenna Marie George | Dietitian, Registered | 300 Brighton Avenue, Suite 110, Rochester, PA 15074 | 2017-08-29 |
| 1457759334 | Monica Joyce Dickerman | Occupational Therapist | 174 Virginia Avenue, Rochester, PA 15074 | 2014-12-09 |
| 1356501712 | Eudora Patricia Williams | Durable Medical Equipment & Medical Supplies | 454 Hamrony Ave, Rochester, PA 15074 | 2008-06-10 |
| 1629137559 | Mario A. Grippa | Chiropractor | 373 Virginia Avenue, Rochester, PA 15074 | 2006-12-06 |
| 1831691161 | Lauren Elizabeth Stone | Dental Hygienist | 176 Virginia Ave, Rochester, PA 15074 | 2018-03-02 |
| 1114297652 | Angela Marie Gilkey | Registered Nurse | 176 Virginia Ave, Rochester, PA 15074 | 2011-12-30 |
| 1326073602 | Adele Ruth Hathaway | Social Worker | 176 Virginia Ave, Wpic of Upmc Beaver Valley, Rochester, PA 15074 | 2006-07-12 |
| 1760044093 | Hidden Hill Horse Farm | Recreation Therapist | 600 Pittsburgh Rd, Rochester, PA 15074-1003 | 2019-07-08 |
| 1821061631 | Rochester Area School District | Case Management | 540 Reno St, Rochester, PA 15074-1240 | 2006-02-10 |
| Find all providers in zip 15074 | ||||
| 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 |
|---|---|---|---|---|
| 1659816916 | Garnett Pharmacy | Pharmacy | 2780 Dewey Ave, Rochester, NY 14616-4626 | 2016-12-22 |
| 1629510854 | Thrifty Drug Stores Inc | Pharmacy | 2018 15th St Nw, Rochester, MN 55901-0716 | 2016-11-04 |
| 1104291293 | Genoa Healthcare, LLC | Pharmacy | 25 Old Dover Rd Unit B, Rochester, NH 03867-3490 | 2015-12-01 |
| 1699164863 | Memaw Inc | Pharmacy | 176 Virginia Ave Fl 3, Rochester, PA 15074-1723 | 2015-01-12 |
| 1780958553 | Your Local Pharmacy LLC | Pharmacy | 780 Joseph Ave, Rochester, NY 14621-4735 | 2012-02-26 |
| 1255561783 | University of Rochester | Pharmacy | 180 Sawgrass Dr Ste 100, Rochester, NY 14620-4652 | 2009-07-17 |
| 1033390380 | Tops Markets LLC | Pharmacy | 999 E Ridge Rd, Rochester, NY 14621-1936 | 2007-11-15 |
| 1932251287 | Weber & Judd Co | Pharmacy | 101 1st Ave Sw, Rochester, MN 55902-3146 | 2007-01-17 |
| 1447323969 | Kroger Limited Partnership I | Pharmacy | 2040 Peace Tree Vlg, Rochester, IN 46975-2630 | 2006-11-15 |
| 1982793592 | Weber & Judd Co | Pharmacy | 1315 6th St Nw, Rochester, MN 55901-1822 | 2006-10-12 |
| Find all providers in ROCHESTER | ||||
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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.