WALGREEN CO (NPI# 1619982923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619982923 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #07452 |
| Practice Address |
4415 Douglas Ave Des Moines IA 50310-2717 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5152794739 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-09 |
| 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 | 674 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0298190 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1616246 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #07452 | 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 |
4415 DOUGLAS AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578127759 | Emily Rose Householter | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2019-04-23 |
| 1477981827 | Brianna Standke | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2013-10-23 |
| 1588003073 | Ajibola Afolabi Fajimolu | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2013-06-18 |
| 1134490949 | Julie Mcclung | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310 | 2012-01-25 |
| 1194095703 | Michael William Rulli | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2012-01-12 |
| 1831467695 | Catherine H Gullion | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2011-12-08 |
| 1215213152 | Karen Lee Jefferson | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2011-10-24 |
| 1053697938 | Jennifer Renee Johnson | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310 | 2011-10-24 |
| 1326324302 | Nicole Ray Vernon | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2011-10-22 |
| 1881975779 | Matthew A. Hoag | Pharmacist | 4415 Douglas Ave, Des Moines, IA 50310-2717 | 2011-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| 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 |
|---|---|---|---|---|
| 1245763689 | Access Pharmacies Inc | Pharmacy | 627 S 227th St, Des Moines, WA 98198-6827 | 2017-04-04 |
| 1265573992 | Cassady Inc | Pharmacy | 501 University Ave, Des Moines, IA 50314-2702 | 2007-02-08 |
| 1457405805 | Stelinhos Beaverdale LLC | Pharmacy | 2804 Beaver Ave, Des Moines, IA 50310-4038 | 2007-01-23 |
| 1144392937 | Thrift Prescriptions Inc | Pharmacy | 3825 Sw 9th St, Des Moines, IA 50315-3581 | 2006-11-15 |
| 1013022045 | Lvh Inc | Pharmacy | 5802 Franklin Ave, Des Moines, IA 50322-6132 | 2006-08-20 |
| 1992710537 | Pharmacy Inc | Pharmacy | 4946 Franklin Ave, Des Moines, IA 50310-1901 | 2006-07-30 |
| 1093713216 | Dick Pharmacy, Inc. | Pharmacy | 3024 Forest Ave, Des Moines, IA 50311-2912 | 2005-07-12 |
| 1750737193 | Sea-mar Community Health Center | Pharmacy | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-05-04 |
| 1013197060 | Broadlawns Medical Center | Pharmacy | 1801 Hickman Road, Des Moines, IA 50314 | 2007-11-07 |
| 1003957960 | Cassady Inc | Pharmacy | 4505 Sw 9th St, Des Moines, IA 50315-3939 | 2007-02-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
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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.