WALGREEN CO (NPI# 1578570560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578570560 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #12788 |
| Practice Address |
407 W Glen Park Ave Griffith IN 46319-1511 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2199242701 |
| Practice Fax Number | 2199248691 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | MR. ALAN T NIELSEN JR. (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 | 60003197 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100308030 | 05 | |
| IN | 100308030A DME | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1523578 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #12788 | 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 |
407 W GLEN PARK AVE |
| City | GRIFFITH |
| State | IN |
| Zip Code | 46319-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124303664 | Robert Earl Mcmanus | Pharmacist | 407 W Glen Park Ave, Griffith, IN 46319-1511 | 2011-10-17 |
| 1861774572 | David Schwimmer | Pharmacist | 407 W Glen Park Ave, Griffith, IN 46319-1511 | 2011-09-20 |
| 1427330802 | Paul J Germick | Pharmacist | 407 W Glen Park Ave, Griffith, IN 46319-1511 | 2011-09-12 |
| 1376825844 | Susan Kaptur | Pharmacist | 407 W Glen Park Ave, Griffith, IN 46319-1511 | 2011-09-12 |
| 1043591092 | Lynn G Wiltrakis | Pharmacist | 407 W Glen Park Ave, Griffith, IN 46319-1511 | 2011-09-05 |
| 1891075503 | Peter Kollintzas | Pharmacist | 407 W Glen Park Ave, Griffith, IN 46319-1511 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407246 | Nirmaldeep Singh Brar Dmd LLC | Dentist | 844 N Cline Ave Ste 2n, Griffith, IN 46319 | 2018-05-14 |
| 1467976472 | Grifflands Optical | Eyewear Supplier (Equipment, not the service) | 1951 West Glen Park Ave, Griffith, IN 46319 | 2017-08-01 |
| 1861760241 | Comfort Zone Counseling, LLC | Community/Behavioral Health | 597 N. Colfax St., Griffith, IN 46319 | 2011-12-13 |
| 1285847178 | Susan M Bowen | Speech-Language Pathologist | 607 Oriole Ave, Griffith, IN 46319 | 2007-05-07 |
| 1306058417 | Dental Professionals of Indiana, P.C. | Dentist | 1515 W 45th Ave, Griffith, IN 46319 | 2007-05-03 |
| 1568568855 | Timothy E Colby | Dentist | 1939 W 45th St, Griffith, IN 46319 | 2006-09-15 |
| 1477657419 | Veronica M. Camarillo | Optometrist | 1951 W Glen Park Ave, Griffith, IN 46319 | 2006-09-11 |
| 1114948437 | Hook-superx, L.L.C. | Pharmacy | 1195 E Ridge Rd, Griffith, IN 46319 | 2006-07-21 |
| 1942738992 | Rikin R Patel | Dentist | 1555 N Cline Ave, Griffith, IN 46319 | 2017-06-02 |
| 1376585687 | Mohamed Monzer Krad | Family Medicine | 315 W 35th Ave, Griffith, IN 46319-1003 | 2006-06-12 |
| Find all providers in zip 46319 | ||||
| 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 |
|---|---|---|---|---|
| 1790716751 | K Mart Corp | Pharmacy | 430 W Ridge Rd, Griffith, IN 46319-1018 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161909 | Damien Cares Inc. | Pharmacy | 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 | 2020-07-21 |
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1053951210 | Pharmacy Corporation of America | Pharmacy | 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 | 2020-01-15 |
| 1629635479 | Medscript Compounding LLC | Pharmacy | 14450 Getz Rd Ste 200, Noblesville, IN 46060-3303 | 2019-05-28 |
| 1346807138 | Genoa Healthcare, LLC | Pharmacy | 3176 Lancer St Ste 102, Portage, IN 46368-4408 | 2019-05-28 |
| 1710444740 | Highcare Pharmacy Inc | Pharmacy | 9030 Cline Ave Ste B, Highland, IN 46322-2204 | 2019-02-26 |
| 1346711611 | Rx for Less Pharmacy | Pharmacy | 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 | 2018-12-16 |
| 1982197463 | 360 Pharmacy Care LLC | Pharmacy | 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 | 2018-06-11 |
| 1649784174 | Kroger Limited Partnership I | Pharmacy | 5 Boone Vlg, Zionsville, IN 46077-1231 | 2017-11-20 |
| 1770095333 | Pharmscript of In LLC | Pharmacy | 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
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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.