WALGREEN CO (NPI# 1538174537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538174537 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #04999 |
| Practice Address |
1570 11th St Huntsville TX 77340-3816 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9362916764 |
| Practice Fax Number | 9364361773 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-13 |
| 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 | 10713 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4558992 | 01 | |
| TX | 468347 | 05 | |
| TX | 462288 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04999 | 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 |
1570 11TH ST |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77340-3816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750993036 | Fred Eugene Walker II | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2020-08-19 |
| 1073125175 | Ricardo Deras | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2020-08-19 |
| 1033591649 | Sean Dickie | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2015-06-19 |
| 1265827000 | Toluwaleke Olukoya | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2015-03-30 |
| 1669749461 | Barbara Grutkowski | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2011-11-21 |
| 1326315300 | Frank J Mayer | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2011-11-19 |
| 1194027649 | Eliudis Torres | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2010-12-02 |
| 1770812703 | Ann Bouthilet Bishop | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2009-12-22 |
| 1689903668 | Margarita C Bouzas | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2009-12-21 |
| 1689903387 | John Otto Taxis V | Pharmacist | 1570 11th St, Huntsville, TX 77340-3816 | 2009-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
| 1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
| 1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
| 1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
| 1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
| Find all providers in zip 77340 | ||||
| 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 |
|---|---|---|---|---|
| 1508378845 | Publix Alabama LLC | Pharmacy | 1660 Old Monrovia Rd Nw, Huntsville, AL 35806-1544 | 2017-10-26 |
| 1710340849 | Wal-mart Stores East Lp | Pharmacy | 2165 Winchester Rd Ne, Huntsville, AL 35811-9198 | 2016-04-05 |
| 1922472026 | Faf Inc | Pharmacy | 4040 Memorial Pkwy Sw Ste L, Huntsville, AL 35802-4364 | 2015-11-30 |
| 1205219789 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 1963 Memorial Pkwy Sw Ste 15, Huntsville, AL 35801-5035 | 2015-07-02 |
| 1609271220 | Corner Crossing LLC | Pharmacy | 30694 Highway 72 West, Suite A, Huntsville, AL 35756 | 2014-10-24 |
| 1578817441 | North Alabama Radiopharmacy, Inc | Pharmacy | 924 Franklin St Se, Huntsville, AL 35801-4312 | 2012-10-31 |
| 1437420817 | Faf Inc | Pharmacy | 2015 Sparkman Dr Nw, Huntsville, AL 35810-3815 | 2012-01-18 |
| 1366620627 | Pharmacy First LLC | Pharmacy | 2302 Whitesburg Dr Sw, Huntsville, AL 35801-3818 | 2008-02-08 |
| 1871639484 | Chase Pharmacy Inc | Pharmacy | 2700 Winchester Rd Ne Ste B, Huntsville, AL 35811-9230 | 2007-01-30 |
| 1730278235 | Morgan Rx LLC | Pharmacy | 900 Bob Wallace, Ste-106, Huntsville, AL 35801 | 2006-10-12 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77340 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.