WALGREENS PHARMACY (NPI# 1558782102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558782102 |
| Entity Type | Organization |
| Organization Name | WALGREENS PHARMACY |
| Practice Address |
1333 E Putnam Ave Riverside CT 06878-1529 |
| Mailing Address |
16010 89th Ave 4k Jamaica NY 11432-3944 |
| Practice Telephone | 3472856466 |
| Mailing Telephone | 3472856466 |
| Enumeration Date | 2013-12-29 |
| Last Update Date | 2013-12-29 |
| Authorized Official Name | DR. MUNTASIR AZMI (PHARMACIST) |
| Authorized Official Telephone | 3472856466 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 28RI03612000 | NJ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PCT.0012856 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659775260 | Walgreens Pharmacy | Pharmacist | 4986 Common Market Pl, Dublin, OH 43016-9192 | 2014-10-10 |
| 1447510730 | Walgreens Pharmacy | Pharmacy | 12600 Tamiami Trl S, North Port, FL 34287-1974 | 2012-05-21 |
| 1225313901 | Walgreens Pharmacy | Pharmacy | 399 West Main St, Norwich, CT 06360 | 2011-10-13 |
| 1194008516 | Walgreens Pharmacy | Pharmacist | 9 Altemus Dr, Landenberg, PA 19350-1357 | 2011-09-21 |
| 1922300508 | Walgreens Pharmacy | Pharmacist | 887 East Liberty Street, York, SC 29745 | 2010-12-02 |
| 1194052449 | Walgreens Pharmacy | Pharmacist | 731 W. Beltline, Desoto, TX 75115 | 2009-11-06 |
| 1437366572 | Walgreens Pharmacy | Pharmacy | 201 Mathistown Road, Little Egg Harbor, NJ 08087 | 2007-05-17 |
| 1407302383 | Walgreens Pharmacy | Pharmacy | 1501 W Cumberland St, Dunn, NC 28334 | 2016-08-30 |
| 1568915080 | Walgreens Pharmacy | Pharmacist | 2190 Shattuck Ave, Unit 309, Berkeley, CA 94704-1307 | 2016-08-02 |
| 1205289121 | Walgreens Pharmacy | Case Management | 10580 W Ustick Rd, Boise, ID 83704-5267 | 2016-07-15 |
| Street Address |
1333 E PUTNAM AVE |
| City | RIVERSIDE |
| State | CT |
| Zip Code | 06878-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073528329 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2006-07-29 |
| 1053922633 | Joe Daniel | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2020-08-16 |
| 1528540028 | Chandani Mendpara | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2018-08-30 |
| 1770064792 | Joseph Kim | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2018-08-27 |
| 1427502996 | Chong Gui Zhao | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2016-08-12 |
| 1598156036 | Sohaib Khalid | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2015-02-05 |
| 1194131359 | Hai Yan Wu | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2014-07-09 |
| 1881029098 | Michelle Wong | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2013-09-06 |
| 1770821019 | Shalini Sahu | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2013-01-22 |
| 1255613956 | Joicy Samuel Abraham | Pharmacist | 1333 E Putnam Ave, Riverside, CT 06878-1529 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1669757050 | Bozena Valencic | Pharmacist | 1333 East Putnam Avenue, Riverside, CT 06878 | 2011-10-17 |
| 1245520485 | Sonya N Joseph | Psychiatry & Neurology | 7 Meyer Place, River Side, CT 06878 | 2011-04-08 |
| 1487964037 | Alex E Lash | Special Hospital | 23 Westview Place, Riverside, CT 06878 | 2010-10-18 |
| 1578780516 | Angelo Milazzo | Dentist | 1212 East Putnam Ave, Greenwich, CT 06878 | 2007-04-19 |
| 1720168347 | Neil N Boside | Internal Medicine | 1200 East Putnam Ave, 2nd Floor, Riverside, CT 06878 | 2006-10-17 |
| 1447534094 | Elam H. Joseph | Anesthesiology | 7 Meyer Place, Riverside, CT 06878 | 2011-09-30 |
| 1508186651 | Prabaakar Reddy | Internal Medicine | 1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878 | 2010-06-10 |
| 1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
| 1871961649 | Diane Chiappetta Fox | Speech-Language Pathologist | 40 Bonwit Rd, Riverside, CT 06878-1215 | 2015-09-09 |
| Find all providers in zip 06878 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1740816701 | Joo Hye Lee | Pharmacist | 12010 Cortona Pl, Riverside, CA 92503-9736 | 2020-03-20 |
| 1154960037 | Minh Anh Nguyen | Pharmacist | 5360 Van Buren Blvd Apt 122, Riverside, CA 92503-2610 | 2019-12-25 |
| 1083250385 | Niyati Butala | Pharmacist | 9990 County Farm Rd Ste 2, Riverside, CA 92503-3542 | 2019-11-21 |
| 1760038988 | Li-wun Chu | Pharmacist | 8207 Arlington Ave Ste A, Riverside, CA 92503-0429 | 2019-08-13 |
| 1609421858 | Michael Aja | Pharmacist | 10550 Orchard View Ln, Riverside, CA 92503-6604 | 2019-08-05 |
| 1215597083 | Huyen Le Pham | Pharmacist | 2259 Keepsake Ct, Riverside, CA 92503-0637 | 2019-06-14 |
| 1588229447 | Glenn Jabaay | Pharmacist | 51 E Burlington St Ste C, Riverside, IL 60546-2124 | 2019-05-07 |
| 1538622782 | Sung Jin | Pharmacist | 4234 Riverwalk Pkwy Ste 130, Riverside, CA 92505-3304 | 2019-04-12 |
| Find all providers in RIVERSIDE | ||||
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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.