WALGREEN CO (NPI# 1588679708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588679708 |
Entity Type | Organization |
Organization Name | WALGREEN CO |
Other Organization Name | WALGREENS #09049 |
Practice Address |
1911 N Broadway St Pittsburg KS 66762-2811 |
Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
Practice Telephone | 6202311486 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2006-07-29 |
Last Update Date | 2015-12-29 |
Authorized Official Name | MR. ALAN T NIELSEN (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 | 2-13145 | KS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | MEDICAID DME | 200279070B | 01 |
KS | 200279070A | 05 | |
OK | 100242740M | 05 | |
OK | MEDICAID DME | 100242740G | 01 |
OTHER ID NUMBER-COMMERCIAL NUMBER | 1718343 | 01 |
Other Name | Type Code |
---|---|
WALGREENS #09049 | 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 |
1911 N BROADWAY ST |
City | PITTSBURG |
State | KS |
Zip Code | 66762-2811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447862743 | Dennis Mowry | Pharmacist | 1911 N Broadway St, Pittsburg, KS 66762-2811 | 2020-08-18 |
1487995148 | Casey Bolton | Pharmacist | 1911 N Broadway St, Pittsburg, KS 66762-2811 | 2013-03-06 |
1386915031 | Tamara Kolacny | Pharmacist | 1911 N Broadway St, Pittsburg, KS 66762-2811 | 2012-01-25 |
1255617510 | Darren L Ryder | Pharmacist | 1911 N Broadway St, Pittsburg, KS 66762-2811 | 2011-10-31 |
1508141987 | Tracy Overman | Pharmacist | 1911 N Broadway St, Pittsburg, KS 66762-2811 | 2011-10-17 |
1821372491 | Kerri L Coble | Pharmacist | 1911 N Broadway St, Pittsburg, KS 66762-2811 | 2011-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
Find all providers in zip 66762 |
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 |
---|---|---|---|---|
1932374956 | City Center Pharmacy Inc | Pharmacy | 1270 E Leland Rd, Ste 102, Pittsburg, CA 94565-5347 | 2008-04-30 |
1275645186 | Parker Drug Inc | Pharmacy | 114 Quitman St, Pittsburg, TX 75686-1322 | 2006-08-31 |
1255371050 | Dillon Companies LLC | Pharmacy | 2600 N Broadway St, Pittsburg, KS 66762 | 2006-06-08 |
1013955277 | Albertsons LLC | Pharmacy | 2100 Railrd Ave, Pittsburg, CA 94565 | 2006-06-02 |
1225069198 | Lindburg Pharmacy Inc | Pharmacy | 909 E Centennial Dr, Pittsburg, KS 66762-6601 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639785652 | Arx Patient Solutions, LLC | Pharmacy | 4500 W 107th St Ste 200, Overland Park, KS 66207-4025 | 2020-09-16 |
1871115394 | Anderson-rogers Pharmacy LLC | Pharmacy | 1410 Kasold Dr Ste A16, Lawrence, KS 66049-3428 | 2020-05-07 |
1770118812 | Oshkins Pharmacy | Pharmacy | 1318 23rd St, Belleville, KS 66935-2500 | 2020-03-09 |
1538726880 | University of Kansas Hospital Authority | Pharmacy | 901 N 5th St, Kansas City, KS 66101-2907 | 2019-05-22 |
1083186530 | Svdrx Corporation | Pharmacy | 7940 W 151st St, Overland Park, KS 66223-2118 | 2018-12-21 |
1205308053 | Lyon Pharmacy Inc | Pharmacy | 921 W Main St, Lyons, KS 67554 | 2018-12-18 |
1750852455 | Lakin Drug, LLC | Pharmacy | 610 Oloughlin St, Lakin, KS 67860 | 2018-12-07 |
1588130330 | Sigler and Hubbell LLC | Pharmacy | 23351 Prairie Star Pkwy Ste A115, Lenexa, KS 66227-6201 | 2018-10-19 |
1861973828 | Dandurand Pharmacy, Inc | Pharmacy | 6227 E 13th St N, Wichita, KS 67208-2654 | 2018-08-27 |
1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
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.