WALGREENS BOOTH ALLIANCE (NPI# 1619361912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619361912 |
| Entity Type | Organization |
| Organization Name | WALGREENS BOOTH ALLIANCE |
| Practice Address |
445 E Maple Ave Roselle IL 60172-2203 |
| Practice Telephone | 6308935171 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | DR. KRYSTYNA KHOPTA (PHARMACY MANAGER/PHARMACIST) |
| Authorized Official Telephone | 6308935171 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
051297137 | IL | Suppliers |
| Street Address |
445 E MAPLE AVE |
| City | ROSELLE |
| State | IL |
| Zip Code | 60172-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457387714 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 445 E Maple Ave, Roselle, IL 60172-2203 | 2006-06-25 |
| 1255965661 | Katherine M Gibison Yu | Pharmacist | 445 E Maple Ave, Roselle, IL 60172-2203 | 2020-02-24 |
| 1548541766 | Christopher Ho | Pharmacist | 445 E Maple Ave, Roselle, IL 60172-2203 | 2011-09-01 |
| 1093095614 | Nish R Patel | Pharmacist | 445 E Maple Ave, Roselle, IL 60172-2203 | 2011-08-26 |
| 1265712889 | Suresh P Patel | Pharmacist | 445 E Maple Ave, Roselle, IL 60172-2203 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292084 | Marsico Enterprises, LLC | In Home Supportive Care | 400 W. Lake Street, Suite 112c, Roselle, IL 60172 | 2020-10-12 |
| 1013483247 | Max Care Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 701 E Irving Park Rd Ste 201, Roselle, IL 60172 | 2018-10-15 |
| 1386137305 | Performance Physical Therapy LLC | Physical Therapist | 400 Lake St Ste 320b, Roselle, IL 60172 | 2018-06-13 |
| 1154780740 | Midwest Speech Therapy | Occupational Therapist | 975 E Nerge Road, Suite W20, Roselle, IL 60172 | 2016-02-11 |
| 1750790408 | Finite Dental LLC | Clinic/Center | 1530 W Lake St, Roselle, IL 60172 | 2014-08-07 |
| 1912292780 | Chris Ciaschini | Contractor | 401 S. Gary Ave, Suite 1, Roselle, IL 60172 | 2011-06-09 |
| 1306141916 | Access Elevator, Inc. | Contractor | 42 Congress Circle W, Roselle, IL 60172 | 2011-01-13 |
| 1568794113 | Jake Buranicz | Physical Medicine & Rehabilitation | 395 Rodenburg Rd., Home Health - Travel, Roselle, IL 60172 | 2010-02-08 |
| 1952565541 | Reema C Patel | Physical Therapist | 1540 W Lake St, Premier Physical Therapy, Roselle, IL 60172 | 2008-07-14 |
| 1669642294 | Max Care Home Health Services Inc. | Home Health | 701 East Irvin Park Road, Suite 106, Rosele, IL 60172 | 2008-03-11 |
| Find all providers in zip 60172 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538492350 | Roselle Center Rita Pharmacy | Pharmacy | 570 Raritan Rd, Roselle, NJ 07203-2446 | 2009-09-11 |
| 1801935143 | New Dimension System Inc | Pharmacy | 471-473 W 1st Ave, Roselle, NJ 07203 | 2007-02-05 |
| 1700978434 | New Jersey Cvs Pharmacy LLC | Pharmacy | 107 E 1st Ave, Roselle, NJ 07203-1209 | 2006-09-29 |
| 1457758633 | Specialty Rx | Pharmacy | 209 E 11th Ave, Roselle, NJ 07203-2015 | 2014-12-03 |
| 1609145952 | Roselle Pharma LLC | Pharmacy | 570 Raritan Rd, Roselle, NJ 07203-2446 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| 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.