WALGREEN CO (NPI# 1649439779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649439779 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11641 |
| Practice Address |
1300 Franklin Ave Garden City NY 11530-1886 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 5165351201 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2019-01-24 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
029147 | NY | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NCPDP | 3358264 | 01 |
| NY | 03064546 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #11641 | 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 |
1300 FRANKLIN AVE |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-1886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801433156 | Nicholas Ralicky | Specialist/Technologist | 1300 Franklin Ave, Garden City, NY 11530-1886 | 2019-12-05 |
| 1699310722 | Kimberly Presuto | Physical Medicine & Rehabilitation | 1300 Franklin Ave, Garden City, NY 11530-1886 | 2019-11-13 |
| 1891359782 | Danielle Nicole Rosario | Specialist/Technologist | 1300 Franklin Ave, Garden City, NY 11530-1886 | 2019-04-25 |
| 1043873508 | Jacqueline Eileen Tierney | Specialist/Technologist | 1300 Franklin Ave, Garden City, NY 11530-1886 | 2019-04-19 |
| 1346803145 | Kathleen Kerr | Specialist/Technologist | 1300 Franklin Ave, Garden City, NY 11530-1886 | 2019-04-17 |
| 1023590791 | Meghan Lynn Campbell | Physical Therapist | 1300 Franklin Ave, Garden City, NY 11530-1886 | 2018-08-30 |
| 1528508124 | Victoria Demarco | Physical Therapist | 1300 Franklin Ave, Lower Level 2, Garden City, NY 11530-1886 | 2017-03-01 |
| 1528427325 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Physical Therapist | 1300 Franklin Ave, Suite Ll2, Garden City, NY 11530-1886 | 2016-02-22 |
| 1366801409 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Urology | 1300 Franklin Ave, Suite Ml-6, Garden City, NY 11530-1886 | 2016-02-17 |
| 1790144178 | Ian Leary | Specialist/Technologist | 1300 Franklin Ave, Suite Ll2, Garden City, NY 11530-1886 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| 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 |
|---|---|---|---|---|
| 1467960658 | Firstcare Pharmacy Inc | Pharmacy | 217 Middlebelt Rd, Garden City, MI 48135-2726 | 2018-01-22 |
| 1265813620 | 520 Franklin Avenue Pharmacy | Pharmacy | 520 Franklin Ave Ste 103, Garden City, NY 11530-5814 | 2015-06-11 |
| 1164857918 | Allied Health Pharmacy, Limited | Pharmacy | 33161 Ford Rd, Garden City, MI 48135-1153 | 2013-09-12 |
| 1467701854 | Americare Compounding LLC | Pharmacy | 319 Nassau Blvd, Garden City, NY 11530-5313 | 2012-08-31 |
| 1619058948 | Professional Apothecary,inc | Pharmacy | 241 Inkster Rd, Garden City, MI 48135-4116 | 2006-10-17 |
| 1881794121 | Maxor National Pharmacy Services LLC | Pharmacy | 19 West Rd, Garden City, NY 11530-6720 | 2006-09-25 |
| 1316983224 | Fred Meyer Stores Inc | Pharmacy | 5425 W Chinden Blvd, Garden City, ID 83714-1468 | 2006-06-20 |
| 1417451774 | Garden City Pharmacy | Pharmacy | 28545 Ford Rd, Garden City, MI 48135-2843 | 2018-03-21 |
| 1255792388 | Guardian Pharmacy LLC | Pharmacy | 29866 Ford Rd, Garden City, MI 48135 | 2016-03-17 |
| 1457774366 | Litemed Rx Inc | Pharmacy | 5727 Inkster Rd, Garden City, MI 48135-2960 | 2014-01-28 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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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.