WALGREEN CO (NPI# 1538683529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538683529 |
Entity Type | Organization |
Organization Name | WALGREEN CO |
Other Organization Name | WALGREENS #17725 |
Practice Address |
156 Maine St Brunswick ME 04011-2007 |
Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
Practice Telephone | 2077298100 |
Practice Fax Number | 2077291355 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2017-08-01 |
Last Update Date | 2019-06-14 |
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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 333600000X | Pharmacy | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | BOARD OF PHARMACY | PH50001643 | 01 |
ME | 1538683529 | 05 |
Other Name | Type Code |
---|---|
Walgreens #17725 | 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 |
156 MAINE ST |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-2007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184950719 | Logan Renee Newman | Pharmacist | 156 Maine St, Brunswick, ME 04011-2007 | 2009-11-02 |
1427660224 | Mark A Kuchnicki | Pharmacist | 156 Maine St, Brunswick, ME 04011-2007 | 2020-08-21 |
1205269016 | Stephanie Renee Copp | Pharmacist | 156 Maine St, Brunswick, ME 04011-2007 | 2013-08-15 |
1821389974 | Ross A Jerome Jr. | Pharmacist | 156 Maine St, Rite Aid 4121, Brunswick, ME 04011 | 2011-04-25 |
1760794853 | Garth Macdonald | Pharmacist | 156 Maine St, Brunswick, ME 04011-2007 | 2010-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
Find all providers in zip 04011 |
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 |
---|---|---|---|---|
1811540867 | Southeastern Pharmacy LLC | Pharmacy | 5711 Altama Ave Ste G, Brunswick, GA 31525-2200 | 2019-07-18 |
1134214943 | Gateway Behavioral Health Services | Pharmacy | 600 Coastal Village Drive, Room 107, Brunswick, GA 31520 | 2006-10-04 |
1053326975 | Riser Foods Company | Pharmacy | 3440 Center Rd, Brunswick, OH 44212-3689 | 2006-07-29 |
1922031582 | Brunswick Medical Center Pharmacy At Parkview | Pharmacy | 329 Maine St Ste E, Brunswick, ME 04011-3310 | 2006-07-08 |
1831121870 | Freds Stores of Tennessee Inc | Pharmacy | 5485 New Jesup Hwy, Brunswick, GA 31523-1119 | 2006-07-07 |
1922043843 | Discount Drug Mart Inc | Pharmacy | 1673 Pearl Rd, Brunswick, OH 44212-3405 | 2006-06-17 |
1588191373 | Rite Aid Corp | Pharmacy | 3871 Center Rd, Brunswick, OH 44212-3058 | 2017-05-11 |
1033563077 | Donato Health LLC | Pharmacy | 3010 Altama Ave, Brunswick, GA 31520-4607 | 2016-04-15 |
1093982886 | Pharmacare of Georgia Inc | Pharmacy | 4319 New Jesup Hwy, Brunswick, GA 31520-1605 | 2008-05-12 |
1568524171 | Medicine Plus Brunswick | Pharmacy | 610 9th Ave, Brunswick, MD 21716-1828 | 2006-12-14 |
Find all providers in BRUNSWICK |
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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.