WALGREEN CO


Address: 62 W Gray Rd, Gray, ME 04039-9772
Phone: 2076572333

WALGREEN CO (NPI# 1629593694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629593694
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #19789
Practice Address 62 W Gray Rd
Gray
ME 04039-9772
Mailing Address 1901 E Voorhees St # Ms 790
Danville
IL 61834-4509
Practice Telephone 2076572333
Practice Fax Number 2076572062
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2017-08-10
Last Update Date 2019-12-06
Authorized Official Name ALYSSA SWEETEN (MANAGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 Provider Identifier

State Issuer Identifier Type Code
ME BOARD OF PHARMACY PH50001604 01
ME 1629593694 05

Other Provider/Organization Names

Other Name Type Code
RITE AID Doing Business As Name - Organization
Walgreens #19789 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 62 W GRAY RD
City GRAY
State ME
Zip Code 04039-9772

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356574941 Shady Aly Ismail Elattar Pharmacist 62 W Gray Rd, Gray, ME 04039-9772 2009-08-28
1679184279 Erica Meader Pharmacist 62 W Gray Rd, Gray, ME 04039-9772 2020-08-17
1861706277 Robert Church Pharmacist 62 W Gray Rd, Gray, ME 04039-9772 2010-07-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750871653 Arsenio Santamaria Social Worker 26 Main, Gray, ME 04039 2018-05-16
1164871331 Andrea Farrar Nurse Anesthetist, Certified Registered 716 Steven's Ave, Portland, ME 04039 2016-06-08
1508246687 Benjamin Lawlor Dentist 31 Portland Rd, Gray, ME 04039 2015-06-04
1669864922 Tabitha Leadbetter Massage Therapist 6 Main Street, Ste 6, Gray, ME 04039 2015-02-24
1326355033 Jennifer Mccullum Speech-Language Pathologist 14 Shaker Road, Gray, ME 04039 2010-09-02
1891018149 Kristen Curley Mechanotherapist 1 Gray Center, Suite# 6, Gray, ME 04039 2010-03-01
1528398104 Beata Anna Wiktor Psychologist 6 Maine Street, Suite 1, Gray, ME 04039 2010-01-05
1942329701 Kristin Marie Yarrish Pharmacist 20 Portland Road, Gray, ME 04039 2007-03-29
1407989478 Karen Burke Lane Social Worker 31 Main St Ste 1, Gray, ME 04039 2007-03-13
1740329473 Chris Jerome Dombrowski Chiropractor 2 Mcconkey Rd, Suite 3, Gray, ME 04039 2007-02-06
Find all providers in zip 04039

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366469843 K Va T Food Stores Inc Pharmacy 125 Judge Gresham Rd, Gray, TN 37615-6213 2006-07-17
1003884248 Gray Drug Co Inc Pharmacy 157 Bill Conn Pkwy, Gray, GA 31032-6349 2006-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245601061 Bedard Pharmacy, Inc. Pharmacy 5 Horton St, Lewiston, ME 04240-6828 2015-10-20
1811392921 M Drug LLC Pharmacy 401 N Main St Ste A&b, Brewer, ME 04412-1873 2014-10-31
1164849691 Eastport Family Pharmacy Pharmacy 34 Middle St, Eastport, ME 04631 2014-03-21
1588080337 The Island Employee Cooperative Inc Pharmacy 3 Burnt Cove Rd, Stonington, ME 04681-3301 2014-03-17
1679812200 Frontier Pharmacy LLC Pharmacy 153 Bennett Dr, Caribou, ME 04736-2024 2013-02-01
1568759058 Mt Blue Drug Inc Pharmacy 624 Wilton Rd, Farmington, ME 04938-6138 2011-07-05
1417100447 Procare Pharmacy, L.L.C. Pharmacy 141 Preble St, Portland, ME 04101-2440 2008-11-04
1811140841 Coastal Pharmacy LLC Pharmacy 29 Marginal Way, Suite 4, Portland, ME 04101-1914 2008-11-04
1013041557 Colonial Pharmacy Inc Pharmacy 40 Dock Sq, Kennebunkport, ME 04046-6011 2007-03-15
1528196219 Moosehead Drug Inc. Pharmacy 10 Pritham Ave, Greenville, ME 04441 2007-03-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City GRAY
Zip Code 04039

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Dataset Information

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.

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