WALGREEN CO (NPI# 1609392273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609392273 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #18982 |
| Practice Address |
100 21st St Nitro WV 25143-1740 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3047553391 |
| Practice Fax Number | 3047553331 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2019-12-12 |
| 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 | Suppliers |
| Other Name | Type Code |
|---|---|
| Rite Aid | Doing Business As Name - Organization |
| Walgreens #18982 | 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 |
100 21ST ST |
| City | NITRO |
| State | WV |
| Zip Code | 25143-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285933440 | James Kenneth King | Pharmacist | 100 21st St, Nitro, WV 25143-1740 | 2011-03-26 |
| 1386935252 | Tina Michelle Dailey | Pharmacist | 100 21st St, Nitro, WV 25143-1740 | 2011-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639537 | Regina Alford | Technician | 640 Cross Lanes Dr. Apt #6, Nitro, WV 25143 | 2020-11-03 |
| 1831677061 | Amy Bateman | Pharmacist | Fruth Pharmacy Patient Care Center, 106 21st Street, Nitro, WV 25143 | 2018-07-31 |
| 1033617543 | Anne Dean | Technician | 3306 3rd St, Nitro, WV 25143 | 2018-01-30 |
| 1720506363 | Philip Neil Kennedy II | Pharmacist | 106 21st Street, Nitro, WV 25143 | 2017-09-05 |
| 1326373705 | Laurie Jewel Elkins | Nurse Anesthetist, Certified Registered | 905 Washington Avenue, Nitro, WV 25143 | 2009-10-02 |
| 1588826515 | Rachel Heilmann | Pharmacist | 113 Norwood Drive, Nitro, WV 25143 | 2008-07-01 |
| 1326140922 | Terry Lee Mcwatters | Dentist | 2201 22nd Street, Nitro, WV 25143 | 2006-09-02 |
| 1942256821 | Modern Medicine Inc | Durable Medical Equipment & Medical Supplies | 4114 1st Ave, Nitro, WV 25143 | 2006-05-25 |
| 1962455261 | Eye Doc Inc | Optometrist | 100 Nitro Marketplace, Nitro, WV 25143 | 2006-05-18 |
| 1639665912 | Damous Center | Clinic/Center | 234 Lee Ave, Nitro, WV 25143 | 2018-07-10 |
| Find all providers in zip 25143 | ||||
| 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 |
|---|---|---|---|---|
| 1528073467 | Fruth Pharmacy Inc | Pharmacy | 101 21st St, Nitro, WV 25143-1739 | 2006-07-29 |
| 1285003343 | Fruth Pharamcy Inc | Pharmacy | 106 21st St, Nitro, WV 25143-1740 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601592 | Ashton Blake Sparks | Pharmacy | 21 Pyramid Dr Apt 620, Huntington, WV 25705-3269 | 2020-08-24 |
| 1609418268 | Winfield Family Pharmacy | Pharmacy | 12044 Winfield Road, Winfield, WV 25213 | 2019-10-15 |
| 1295382083 | Shelby Paige Humphrey | Pharmacy | Marshall School of Pharmacy One John Marshall Drive, Huntington, WV 25755-0001 | 2019-08-26 |
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1316424948 | Team J & J Corp | Pharmacy | 48 1/2 W. 2nd Ave, Williamson, WV 25661 | 2018-07-26 |
| 1053825711 | Genoa Healthcare, LLC | Pharmacy | 101 S Eisenhower Dr Ste P, Beckley, WV 25801-4929 | 2017-11-16 |
| 1336661834 | Rainelle Medical Center, Inc. | Pharmacy | 390 Industrial Park Rd, Maxwelton, WV 24957-8073 | 2017-07-17 |
| 1447783931 | Pharmacole Inc | Pharmacy | 13030 Shortline Hwy, Pine Grove, WV 26419-8291 | 2017-04-11 |
| 1033564893 | New Trail Clinical Pharmacy Solutions | Pharmacy | 521 Jesse James Dr, Rock, WV 24747-9779 | 2016-04-29 |
| 1386005148 | New River Health Association, Inc | Pharmacy | 217 W Maple Ave, Fayetteville, WV 25840-1413 | 2016-03-08 |
| 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.