WALGREEN CO (NPI# 1659679280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659679280 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #12792 |
| Practice Address |
350 Preakness Ave Paterson NJ 07502 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 9735951075 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2011-03-07 |
| 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 |
| 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 | 28RS00712100 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3197705 | 01 |
| NJ | 0268518 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens #12792 | 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 |
350 PREAKNESS AVE |
| City | PATERSON |
| State | NJ |
| Zip Code | 07502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831466416 | Kim Pellegrino | Pharmacist | 350 Preakness Ave, Paterson, NJ 07502-1757 | 2011-11-25 |
| 1407138464 | Ritsa Skordos | Pharmacist | 350 Preakness Ave, Paterson, NJ 07502-1757 | 2011-09-15 |
| 1417239039 | Manuel Zea | Pharmacist | 350 Preakness Ave, Paterson, NJ 07502-1757 | 2011-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255711834 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 234-36 Chatham Ave, Paterson, NJ 07502 | 2015-06-09 |
| 1851535934 | Dolores Boisselle | Audiologist | 202 Uion Ave, B.u.i.l.d. Academy, Paterson, NJ 07502 | 2009-04-21 |
| 1699855494 | Donald J Pasquariello | Dentist | 55 Union Ave, Paterson, NJ 07502 | 2006-10-16 |
| 1629094255 | Pb Pharmacy | Pharmacy | 222 Union Avenue, Paterson, NJ 07502 | 2006-07-15 |
| 1699138339 | Future Project | Day Training, Developmentally Disabled Services | 155 Union Ave, Paterson, NJ 07502 | 2016-03-31 |
| 1679653471 | Roland C Pasquariello | Dentist | 55 Union Ave, Paterson, NJ 07502 | 2006-10-16 |
| 1487790085 | Francis Tsao | Otolaryngology | 311 Lexington Ave, Paterson, NJ 07502-1010 | 2007-01-30 |
| 1225217219 | James Labagnara Md Pa | Otolaryngology | 311 Lexington Ave, Paterson, NJ 07502-1010 | 2007-10-26 |
| 1659599892 | Alliance Medical Services LLC. | Non-emergency Medical Transport (VAN) | 555 Preakness Ave, Paterson, NJ 07502-1012 | 2007-04-23 |
| 1013475953 | Rejuvenation Center for Mind and Body | Internal Medicine | 555 Preakness Ave, Totowa, NJ 07502-1012 | 2019-03-11 |
| Find all providers in zip 07502 | ||||
| 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 |
|---|---|---|---|---|
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1477092039 | Rhk Pharmacy Management LLC | Pharmacy | 680 Broadway Ste 108, Paterson, NJ 07514-1526 | 2017-02-15 |
| 1609910017 | Lb Pharmacy Inc | Pharmacy | 448 Chamberlain Ave, Paterson, NJ 07522-1009 | 2007-02-18 |
| 1639212533 | Paterson Drug Inc | Pharmacy | 430 Madison Ave, Paterson, NJ 07524-2728 | 2007-02-14 |
| 1942364195 | Community Care Pharmacy Inc | Pharmacy | 55 North Main St., Community Care Pharmacy, Paterson, NJ 07522 | 2006-12-21 |
| 1861555153 | Hospital Pharmacy | Pharmacy | 544 Market St, Paterson, NJ 07513-1426 | 2006-12-18 |
| 1871660944 | Billstra Pharmacy LLC | Pharmacy | 608 21st Ave, Paterson, NJ 07513-1261 | 2006-11-30 |
| 1568567428 | Farmacias Del Pueblo LLC | Pharmacy | 992-994 Madison Ave, Paterson, NJ 07501 | 2006-09-14 |
| 1629094255 | Pb Pharmacy | Pharmacy | 222 Union Avenue, Paterson, NJ 07502 | 2006-07-15 |
| 1558303339 | Mcdermott Drug Corp | Pharmacy | 433 Union Ave, Paterson, NJ 07502-1917 | 2006-06-13 |
| Find all providers in PATERSON | ||||
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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.