WALGREENS (NPI# 1639582604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639582604 |
| Entity Type | Organization |
| Organization Name | WALGREENS |
| Practice Address |
4218 Lindell Blvd Saint Louis MO 63108-2916 |
| Mailing Address |
600 Thiebes Rd Labadie MO 63055-1710 |
| Practice Telephone | 3143714286 |
| Mailing Telephone | 6367515778 |
| Enumeration Date | 2014-06-08 |
| Last Update Date | 2014-06-08 |
| Authorized Official Name | KELLYE HOLTGRAVE (SUPERVISOR) |
| Authorized Official Telephone | 3147394503 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
2013026259 | MO | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228146 | Walgreens | Health Maintenance Organization | 99 Tide Mill Ln, Apt #96, Hampton, VA 23666-2764 | 2016-12-02 |
| 1790140663 | Walgreens | Pharmacy | 4524 Tutbury Ct, Amarillo, TX 79119-6514 | 2015-12-21 |
| 1285003442 | Walgreens | Pharmacy | 7937 Hendricks Dr, San Diego, CA 92126-3538 | 2015-09-17 |
| 1932585387 | Walgreens | Pharmacy | 214 Emerson St, Palo Alto, CA 94301-1056 | 2015-08-09 |
| 1972989861 | Walgreens | Pharmacy | 3528 S Clement Ave, Milwaukee, WI 53207-3502 | 2015-08-03 |
| 1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
| 1134503261 | Walgreens | Pharmacy | 333 Riverland Dr, Charleston, SC 29412-2345 | 2015-07-18 |
| 1255726964 | Walgreens | Pharmacy | 2221 Naomi St, Houston, TX 77054-3823 | 2015-03-31 |
| 1578957403 | Walgreens | Pharmacist | Cond Villa Caparra Plz, 580 Marginal Buchanan, Guaynabo, PR 00966-1731 | 2015-03-28 |
| 1427441716 | Walgreens | Contractor | 388 Beale St Apt 1305, Folsom, San Francisco, CA 94105-4422 | 2015-03-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WALGREENS | 200 Wilmot Rd, Deerfield, IL 60015-4620 |
| Oregon Corporations, Companies and Business Names | WALGREENS | 302 Wilmot Rd Ms #3353, Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS #11526 | 302 Wilmot Rd., Ms #3353, Deerfield, IL 60015 |
| New York State Corporations | WALGREENS 6195, LLC | 314 Fifth Avenue, Floor 3, New York, New York 10001 |
| New York State Corporations | WALGREENS FEDERAL HEIGHTS INVESTORS, LLC | 322 Main Street, Port Washington, New York 11050 |
| New York State Corporations | WALGREENS FRESNO INVESTORS, LLC | 322 Main Street, Port Washington, Ny 11050 |
| Vermont Business Registrations | WALGREENS HEALTH INITIATIVES | 200 Wilmot Rd, Deerfield, IL 60015 |
| Oklahoma Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | Law, 200 Wilmot Rd., Deerfield, IL 60015 |
| Vermont Business Registrations | WALGREENS HEALTHCARE PLUS, INC. | 200 Wilmot Road, Deerfield, IL 60015 |
| Indiana Business Entities | WALGREENS HEALTHCARE PLUS, INC. | 300 Wilmot Road, Attn: Tax Dept., Deerfield, IL 60015 |
| Street Address |
4218 LINDELL BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276679 | Gabrielle Spann | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2020-08-19 |
| 1134731219 | Theresa Deterding | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2020-08-19 |
| 1700326725 | Michelle Jeon | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2017-02-24 |
| 1770949257 | Sophie Willis | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2016-01-13 |
| 1013309897 | Kara Green | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2015-03-03 |
| 1568712255 | Tre'von Orlando Elam | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2012-09-11 |
| 1245517010 | Jeffrey Kuruvilla | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2011-11-08 |
| 1750665964 | Anja Baskot | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2011-10-06 |
| 1326322900 | Tuan Le | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2011-09-30 |
| 1588948384 | Elizabeth Chetelat Cooley | Pharmacist | 4218 Lindell Blvd, Saint Louis, MO 63108-2916 | 2011-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245880608 | Strength-based Therapeutic Organized Education | Clinic/Center | 4055 Edmundson Rd, Saint Louis, MO 63134-3947 | 2019-09-18 |
| 1184197816 | Flourish. Nutrition Therapy | Clinic/Center | 6222 Potomac St, Saint Louis, MO 63139-2011 | 2019-01-04 |
| 1942541578 | Betty Jean Kerr People's Health Center | Clinic/Center | 5701 Delmar Blvd, Saint Louis, MO 63112-2617 | 2013-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
| 1952649444 | Kansas City Care Clinic | Clinic/Center | 3515 Broadway Street, Kansas City, MO 64111 | 2013-01-18 |
| 1437460896 | Medical Missions for Christ | Clinic/Center | 1974 N Business Route 5, Camdenton, MO 65020-2612 | 2010-06-30 |
| 1649503772 | Safe Kids | Clinic/Center | 219 Creekside Office Dr, Wentzville, MO 63385-3290 | 2009-09-08 |
| 1114174935 | Dade County Health Department | Clinic/Center | 413 W Water St, Greenfield, MO 65661-1353 | 2008-08-22 |
| 1720272289 | University of Kansas Hospital Authourity | Clinic/Center | 501 W 107th St, Grand Court One of Kansas City, Kansas City, MO 64114-5919 | 2007-08-28 |
| 1255547592 | Social Welfare Board | Clinic/Center | 904 S 10th St Ste A, Saint Joseph, MO 64503-2400 | 2007-05-15 |
| 1265909154 | Nutriformance | Clinic/Center | 10407 Clayton Rd, Frontenac, MO 63131-2909 | 2018-10-29 |
| 1629477419 | Walgreens | Clinic/Center | 1930 W Grand St, Springfield, MO 65802-4870 | 2014-08-18 |
| 1477893907 | Missouri State University | Clinic/Center | 1630 N Jefferson Ave, Springfield, MO 65803-2819 | 2013-02-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
Please comment or provide details below to improve the information on WALGREENS.
| 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.