WALGREEN CO (NPI# 1588188254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588188254 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #18096 |
| Practice Address |
1321 Riverside Pkwy Belcamp MD 21017-1388 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4102728741 |
| Practice Fax Number | 4102720050 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-08-16 |
| 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 | P07782 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NCPDP | 2141973 | 01 |
| MD | 789105900 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID #11209 | Doing Business As Name - Organization |
| Walgreens #18096 | 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 |
1321 RIVERSIDE PKWY |
| City | BELCAMP |
| State | MD |
| Zip Code | 21017-1388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669589867 | Kleins At Riverside Inc | Pharmacy | 1321 Riverside Pkwy, Belcamp, MD 21017-1388 | 2006-08-24 |
| 1497385298 | Kleins At Riverside Inc | Pharmacy | 1321 Riverside Pkwy, Belcamp, MD 21017-1388 | 2020-01-21 |
| 1013477173 | Brian C Sumlin | Pharmacist | 1321 Riverside Pkwy, Belcamp, MD 21017-1388 | 2019-03-23 |
| 1982160768 | Nicole Caprio | Pharmacist | 1321 Riverside Pkwy, Belcamp, MD 21017-1388 | 2019-02-16 |
| 1609252535 | Katie Parish | Nurse Practitioner | 1321 Riverside Pkwy, Suite A-3, Belcamp, MD 21017-1388 | 2015-08-03 |
| 1619359411 | Ati Holdings, LLC | Occupational Therapist | 1321 Riverside Pkwy, Ste A-2, Belcamp, MD 21017-1388 | 2015-06-29 |
| 1306250113 | Apple Occupational Medical Services | Preventive Medicine | 1321 Riverside Pkwy, Suite A-2, Belcamp, MD 21017-1388 | 2014-06-19 |
| 1558785162 | Medstar Urgent Care LLC | Clinic/Center | 1321 Riverside Pkwy, Belcamp, MD 21017-1388 | 2014-02-18 |
| 1750649984 | Rekha Madhavi Mattaparthi | Pharmacist | 1321 Riverside Pkwy, Belcamp, MD 21017-1388 | 2012-04-25 |
| 1477826410 | Griffith James Randle | Physical Therapist | 1321 Riverside Pkwy, Ste A-2, Belcamp, MD 21017-1388 | 2012-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932187390 | Lise M Greenberg | Family Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-01-05 |
| 1013912039 | Gloria Fern Moretz | Nurse Practitioner | 103 Bata Blvd, John Hopkins Community Physicians Waters Edge, Baltimore, MD 21017 | 2005-06-16 |
| 1689937260 | Glass Health Programs, Inc. | Community/Behavioral Health | 1361 Brass Mill Rd, Suite A, Bel Camp, MD 21017 | 2012-06-19 |
| 1861537532 | Laurie Bothwell | Emergency Medicine | 103 Bata Blvd, Suite A, Belcamp, MD 21017 | 2007-02-21 |
| 1932204716 | Elizabeth Jo Johnson | Physician Assistant | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-14 |
| 1215031612 | Marilyn Moshay Cooper | Pediatrics | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-08 |
| 1619070125 | Bernhard Birnbaum | Internal Medicine | 103 Bata Blvd Ste A, Belcamp, MD 21017 | 2006-09-07 |
| 1689184442 | Arrow Child & Family Ministries of Maryland | Community/Behavioral Health | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2017-10-06 |
| 1346887486 | Lori Ann Levy | Occupational Therapist | 1370 Brass Mill Rd, Belcamp, MD 21017-1211 | 2019-12-09 |
| 1548319056 | Alliance Inc | Community/Behavioral Health | 4510 Wharf Point Ct, Belcamp, MD 21017-1212 | 2007-01-10 |
| Find all providers in zip 21017 | ||||
| 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 |
|---|---|---|---|---|
| 1669589867 | Kleins At Riverside Inc | Pharmacy | 1321 Riverside Pkwy, Belcamp, MD 21017-1388 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537527 | Obra Pharmacy, LLC | Pharmacy | 15525 New Hampshire Ave, Silver Spring, MD 20905-4077 | 2020-10-27 |
| 1598364275 | Lex Pharmacy LLC | Pharmacy | 26 Solomons Island Rd S, Prince Frederick, MD 20678-5312 | 2020-10-22 |
| 1023615325 | Rx Rhamp LLC | Pharmacy | 11747 Owens Glen Way, North Potomac, MD 20878-2361 | 2020-10-08 |
| 1265049647 | West North Pharmacy, Inc | Pharmacy | 3044 W North Ave Ste A&b, Baltimore, MD 21216-3180 | 2020-09-29 |
| 1316567977 | Jant Pharmacy | Pharmacy | 8771 Piney Orchard Pkwy, Odenton, MD 21113-2245 | 2020-04-23 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1275167827 | Elevation Rx LLC | Pharmacy | 7651 Matapeake Business Dr Ste 114, Brandywine, MD 20613-3038 | 2020-02-22 |
| 1871123000 | Geipe Pharmacy | Pharmacy | 516 N Rolling Rd Ste 101, Catonsville, MD 21228-4141 | 2020-01-15 |
| 1306488853 | Urbana Pharmacy | Pharmacy | 3420 Worthington Blvd Ste B, Frederick, MD 21704-7020 | 2019-10-16 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| 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.