WALGREEN CO (NPI# 1528583663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528583663 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | RITE AID #19413 |
| Practice Address |
393 Chandler St Worcester MA 01602-3329 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5087545348 |
| Practice Fax Number | 5087997109 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2018-06-16 |
| 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 | DS90238 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0442577 | 05 | |
| MA | NCPDP | 2247066 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #10094 | Doing Business As Name - Organization |
| Rite Aid #19413 | 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 |
393 CHANDLER ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01602-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194016543 | Michael Anthony Amato Jr. | Pharmacist | 393 Chandler St, Worcester, MA 01602 | 2011-04-20 |
| 1346654621 | Ira Xhai | Pharmacist | 393 Chandler St, Worcester, MA 01602-3329 | 2014-06-16 |
| 1457783557 | Erinda Ikonomi | Pharmacist | 393 Chandler St, Worcester, MA 01602-3329 | 2013-07-31 |
| 1568753812 | June D Phan | Pharmacist | 393 Chandler St, Worcester, MA 01602-3329 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962915165 | Yasmin Gonzalez | Developmental Therapist | 239 Mill Street Suite B, Worcester, MA 01602 | 2017-11-09 |
| 1366971723 | Catherine Cruz | Social Worker | 255 Park Ave., Suite 500, Worcester, MA 01602 | 2017-06-08 |
| 1467986968 | Rosmery Reyes Cruz | Developmental Therapist | 111 Fairfield Street, Apt.2, Worcester, MA 01602 | 2017-04-12 |
| 1730553124 | H.r.i. Clinics Inc - (worcester Location) | Community/Behavioral Health | 411 Chandler St., Arbour Counseling Services Partial Hospital Lization Pr, Worcester, MA 01602 | 2015-11-23 |
| 1235529413 | Christine Fitzgerald | Social Worker | 411 Chandler Street, Arbour Counseling, Worcester, MA 01602 | 2015-01-27 |
| 1215354345 | Dale Burton | Speech-Language Pathologist | 257 Mower Street, Worcester, MA 01602 | 2014-03-26 |
| 1720415219 | Massachusetts Center for People, Work & Learning | Home Health | 259 June St, Worcester, MA 01602 | 2013-09-30 |
| 1699020685 | Allison Carr | Occupational Therapist | 99 June St., Apt #2, Worcester, MA 01602 | 2012-07-17 |
| 1326365826 | Fostina Aidoo Rolle | Licensed Practical Nurse | 30 Intervale Rd, Worcester, MA 01602 | 2010-04-23 |
| 1992971931 | Cynthia Lou Aiken | Speech-Language Pathologist | 11 St. Elmo Rd., Worcester, MA 01602 | 2008-04-30 |
| Find all providers in zip 01602 | ||||
| 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 |
|---|---|---|---|---|
| 1588753115 | Big Y Foods Inc | Pharmacy | 100 Mayfield St, Worcester, MA 01602-3453 | 2006-10-12 |
| 1831202217 | Golub Corporation | Pharmacy | 72 Pullman St, Worcester, MA 01606-3311 | 2006-08-17 |
| 1063525574 | Golub Corporation | Pharmacy | 50 Cambridge St, Worcester, MA 01610 | 2006-08-17 |
| 1912939893 | Stop and Shop Supermarket Co LLC | Pharmacy | 949 Grafton St, Worcester, MA 01604-2003 | 2006-07-07 |
| 1801842331 | Shaws Supermarkets Inc | Pharmacy | 201 Grafton St, Worcester, MA 01604-4904 | 2006-05-26 |
| 1477851798 | Quality Pharmacy Corp | Pharmacy | 664 Main St, Worcester, MA 01610-3124 | 2011-03-10 |
| 1669630950 | Umass Memorial Medical Center, Inc. | Pharmacy | 119 Belmont St, Memorial Campus, Worcester, MA 01605-2903 | 2008-05-23 |
| 1346384641 | Winthrop Apothecary, Inc. | Pharmacy | 10 Winthrop St, Worcester, MA 01604-4435 | 2007-02-19 |
| 1447399225 | Family Health Center of Worcester, Inc. | Pharmacy | 26 Queen St, Pharmacy, Worcester, MA 01610-2473 | 2007-02-06 |
| 1679574933 | Umass Memorial Medical Center | Pharmacy | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-08-09 |
| Find all providers in WORCESTER | ||||
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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.