WALGREEN CO. (NPI# 1609896513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609896513 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #11016 |
| Practice Address |
30182 Sussex Hwy Unit 1 Laurel DE 19956-3884 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3028758560 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-11-08 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | A3-0000775 | DE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000900307 | 05 | |
| NCPDP | 0803494 | 01 | |
| DE | 20051026 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #11016 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
| 1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
| 1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
| 1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
| 1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
| 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 |
30182 SUSSEX HWY UNIT 1 |
| City | LAUREL |
| State | DE |
| Zip Code | 19956-3884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003361809 | Ryan Hines | Pharmacist | 30182 Sussex Hwy Unit 1, Laurel, DE 19956-3884 | 2016-08-22 |
| 1194197525 | Lauren Emilee Ruf | Pharmacist | 30182 Sussex Hwy Unit 1, Laurel, DE 19956-3884 | 2015-10-26 |
| 1841572443 | John A Miller | Pharmacist | 30182 Sussex Hwy Unit 1, Laurel, DE 19956-3884 | 2011-09-09 |
| 1912288317 | Elizabeth Dattoli | Pharmacist | 30182 Sussex Hwy Unit 1, Laurel, DE 19956-3884 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021911 | Arlene Patricia Wood | Counselor | 517 Willow Street, Laurel, DE 19956 | 2018-01-12 |
| 1356897094 | Abigail Siple | Speech-Language Pathologist | 1160 South Central Ave, Laurel, DE 19956 | 2016-09-01 |
| 1750739207 | Erin Johnson | Specialist/Technologist | 14323 Laurel Rd, Laurel, DE 19956 | 2016-05-25 |
| 1922192434 | Antonio Pedro | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-02 |
| 1043311095 | Shellene Marie Ball | Psychologist | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-09-25 |
| 1972670479 | Janice M Mccandless Bruce | Registered Nurse | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-11-29 |
| 1093800401 | Odilon Claravall | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-03 |
| 1396804829 | Laurel Senior Center, Inc. | Psychologist | 113 N. Central Ave., Laurel, DE 19956-0064 | 2006-12-08 |
| 1326174699 | Kathy Guthrie | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2007-02-23 |
| 1588984769 | Raffaela Ballard | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2010-06-10 |
| Find all providers in zip 19956 | ||||
| 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 |
|---|---|---|---|---|
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| 1225494974 | Pax Pharmacy LLC | Pharmacy | 9900 Washington Blvd N Ste G, Laurel, MD 20723-1972 | 2016-01-11 |
| 1740565357 | Anika Pharmacy Corp | Pharmacy | 13929 Baltimore Ave Ste 4, Laurel, MD 20707-5045 | 2011-10-14 |
| 1831410638 | Thomas Pharmacy Gardiner Center, LLC | Pharmacy | 2341 Hwy 15 North, Laurel, MS 39441-4111 | 2010-06-15 |
| 1396874178 | Wallace Drug Company Inc | Pharmacy | 520 N Magnolia St, Laurel, MS 39440-3559 | 2007-03-05 |
| 1841384245 | Snyders Western | Pharmacy | 209 S 1st Ave, Laurel, MT 59044-3305 | 2006-10-03 |
| 1134212574 | Read Discount Drug | Pharmacy | 1592 Highway 15 N Ste D, Ste D, Laurel, MS 39440-2122 | 2006-09-30 |
| 1053410431 | Medaccess Pharmacy Svc LLC | Pharmacy | 7350 Van Dusen Rd Ste 120, Laurel, MD 20707-5267 | 2006-09-21 |
| 1407951601 | Wells Discount Drugs Inc | Pharmacy | 725 Samill Rd, Laurel, MS 39440-3971 | 2006-09-13 |
| 1912932955 | Weis Markets Inc | Pharmacy | 9250 Baltimore-washington Blvd, Laurel, MD 20723 | 2006-07-11 |
| Find all providers in LAUREL | ||||
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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.