WALGREEN CO (NPI# 1598770505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598770505 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03234 |
| Practice Address |
4281 W 130th St Cleveland OH 44135-4869 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 2169418702 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-09-29 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 20799900 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3660063 | 01 | |
| OH | 0987642 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03234 | 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 |
4281 W 130TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44135-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952687667 | Kaushik Soni | Pharmacist | 4281 W 130th St, Cleveland, OH 44135 | 2011-10-26 |
| 1326320789 | Kelly Ann Hihn | Pharmacist | 4281 W 130th St, Cleveland, OH 44135-4869 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387840 | Zachary David Pichler | Counselor | 17113 Martha Rd, Cleveland, OH 44135 | 2018-05-25 |
| 1487176301 | Mary Ann Mtonga | Nurse's Aide | 12600 Crossburn Ave, Cleveland, OH 44135 | 2017-07-12 |
| 1477963007 | Judy Rae Brimacombe | Occupational Therapist | 4550 W. 150th Street, Rg Jones Elementary School, Cleveland, OH 44135 | 2014-05-05 |
| 1548688799 | West Park Academy, Inc. | Local Education Agency (LEA) | 12913 Bennington, Cleveland, OH 44135 | 2014-04-04 |
| 1265724108 | Applewood Centers Incorporated | Community/Behavioral Health | 15517 Louis Avenue, Cleveland, OH 44135 | 2011-05-11 |
| 1932343480 | Alpha Home Health Agency,llc | Home Health | 14836 Puritas Avenue, Cleveland, OH 44135 | 2009-04-28 |
| 1811035256 | Abeel A Mangi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Desk H-35, Cleveland Clinic Foundation, Cleveland, OH 44135 | 2007-02-01 |
| 1548341126 | Walter Michael Vieweg | Family Medicine | 5900 South Cargo Rd, Cleveland, OH 44135 | 2006-10-18 |
| 1245331511 | Javier L Clemente | Specialist/Technologist, Other | 18099 Lorain Rd, Ste 316, Cleveland, OH 44135 | 2006-09-26 |
| 1346254372 | Frank Joseph Kysela Iv | Dentist | 4406 Rocky River Dr, Cleveland, OH 44135 | 2006-07-27 |
| Find all providers in zip 44135 | ||||
| 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 |
|---|---|---|---|---|
| 1629617352 | Ritefyl LLC | Pharmacy | 10414 Saint Clair Ave, Cleveland, OH 44108-1957 | 2019-12-28 |
| 1487211058 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1&2, Cleveland, TN 37311-5868 | 2019-05-20 |
| 1982191912 | Apn Pharmacy LLC | Pharmacy | 105 N San Jacinto Ave, Cleveland, TX 77327 | 2018-04-16 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1871970004 | Ameriwell Beneficial Community Services | Pharmacy | 9500 Detroit Ave, Cleveland, OH 44102 | 2015-04-27 |
| 1609288976 | Crp Pharmacy LLC | Pharmacy | 10567 Saint Clair Ave, Cleveland, OH 44108-1973 | 2014-05-21 |
| 1528478328 | Cleveland Drug Co Inc | Pharmacy | 184 West Kytle Street, Suite A, Cleveland, GA 30528 | 2014-05-01 |
| 1093138299 | Signature Health Inc | Pharmacy | 1400 W 25th St, 2nd Floor, Cleveland, OH 44113-3148 | 2014-01-24 |
| 1053667204 | Emmanuel Ventures Limited LLC | Pharmacy | 4127 E 131st St, Miles Supermarket, Cleveland, OH 44105-5563 | 2012-07-25 |
| 1467738732 | Church Square Pharmacy Inc. | Pharmacy | 11201 Shaker Blvd Ste 126, Cleveland, OH 44104-3833 | 2011-10-31 |
| Find all providers in CLEVELAND | ||||
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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.