WALGREEN CO (NPI# 1639739055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639739055 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | COMMUNITY, A WALGREENS PHARMACY #21250 |
| Practice Address |
1029 S Riverside Dr Ste 100 Iowa City IA 52246-5616 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3194714285 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2020-02-18 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | NCPDP | 1626348 | 01 |
| Other Name | Type Code |
|---|---|
| Community, A Walgreens Pharmacy #21250 | 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 |
1029 S RIVERSIDE DR STE 100 |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52246-5616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476573 | Nashika Antionette Tetteh | Registered Nurse | 601 Us-6 W, Iowa City, IA 52246 | 2020-08-05 |
| 1023523636 | Rebeca Marie Maynor | Specialist/Technologist | 2820 Prairie Meadow Dr., Iowa City, IA 52246 | 2017-12-05 |
| 1114436052 | Anna Salino-hugg | Social Worker | 601 Hwy 6. W, Iowa City, IA 52246 | 2017-09-22 |
| 1841718954 | Ashley Kathleen Norwood-strickland | Psychologist | 148 Penfro Dr, Iowa City, IA 52246 | 2017-09-08 |
| 1982156303 | Shilmi Patel | Student in an Organized Health Care Education/Training Program | 601 W Benton St, Iowa City, IA 52246 | 2016-11-02 |
| 1356794358 | Jenna Herrington | Registered Nurse | 601 Us 6, Iowa City, IA 52246 | 2016-07-14 |
| 1972959435 | Deborah Betsworth | Psychologist | Iowa City Va Health Care System, 601 Hwy 6 West, Iowa City, IA 52246 | 2016-05-13 |
| 1831550557 | Kara Joelle Kershner | Specialist/Technologist | 375 Newton Road, Iowa City, IA 52246 | 2016-03-08 |
| 1366819005 | Amanda Miller | Speech-Language Pathologist | 1522 Mall Dr, Iowa City, IA 52246 | 2015-08-28 |
| 1508253519 | Kiara Michelle Agosto- Burgos | Registered Nurse | 601 Hwy 65 W, Iowa City, IA 52246 | 2015-04-17 |
| Find all providers in zip 52246 | ||||
| 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 |
|---|---|---|---|---|
| 1417208547 | Pharmacy Relief Services | Pharmacy | 1043 Arlington Dr, Iowa City, IA 52245-9229 | 2012-09-28 |
| 1063443026 | K Mart Corp | Pharmacy | 851 Hwy 6 East, Iowa City, IA 52240 | 2006-07-06 |
| 1760431787 | Signature Compounding L L C | Pharmacy | 3526 Dolphin Dr Se, Iowa City, IA 52240-8202 | 2006-05-08 |
| 1437108552 | T Zenon Pharmaceuticals LLC | Pharmacy | 230 Scott Ct Ste 238, Iowa City, IA 52245-3997 | 2006-05-08 |
| 1588900047 | Pm Acquisition, LLC | Pharmacy | 3526 Dolphin Dr Se, Se, Iowa City, IA 52240-8202 | 2013-01-02 |
| 1972720878 | Mercy Hospital | Pharmacy | 500 E Market St, Iowa City, IA 52245-2633 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478868 | Prescription Shoppe, Inc | Pharmacy | 606 Rossville Rd, Waukon, IA 52172-2228 | 2020-08-18 |
| 1851910681 | Daniel Teague | Pharmacy | 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 | 2020-04-12 |
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1104385806 | Pca Iowa Rx, LLC | Pharmacy | 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910 | 2019-03-13 |
| 1740750488 | Preston James Witt | Pharmacy | 13687 Summit Drive, Clive, IA 50325-5032 | 2018-11-26 |
| 1235635285 | Des Moines Central Correctional Pharmacy | Pharmacy | 250 Elm Ave Sw, Mitchellville, IA 50169-9610 | 2018-03-30 |
| 1982111415 | Prescription Shoppe Telepharmacy LLC | Pharmacy | 139 N Lawler St, Postville, IA 52162 | 2018-01-05 |
| 1962929505 | Genoa Healthcare, LLC | Pharmacy | 1441 W Central Park Ave Ste 53, Davenport, IA 52804-1707 | 2017-08-24 |
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| 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.