WALGREENS (NPI# 1689059263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689059263 |
| Entity Type | Organization |
| Organization Name | WALGREENS |
| Practice Address |
65 Se Goodfellow St Ontario OR 97914-3016 |
| Practice Telephone | 5418896288 |
| Mailing Telephone | 5418896288 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. DAVID ROBERTSON (STORE MANAGER) |
| Authorized Official Telephone | 5418896288 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | P4856 | ID | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 27850 | MT | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 17778 | NV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP00006714 | NM | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 29779 | TX | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 11562 | OR | Pharmacy Service Providers |
| 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 |
| New York State Corporations | WALGREENS HIGH POINT INVESTORS, LLC | 322 Main Street, Port Washington, Ny 11050 |
| Street Address |
65 SE GOODFELLOW ST |
| City | ONTARIO |
| State | OR |
| Zip Code | 97914-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689862708 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2007-10-15 |
| 1659729234 | Ryan Thueson | Pharmacist | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2016-05-24 |
| 1356716971 | Annette Louise Koski | Pharmacist | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2015-12-08 |
| 1245608819 | Annette Louise Koski | Clinic/Center | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2015-09-12 |
| 1003190315 | Walter Mathis | Pharmacist | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2011-10-05 |
| 1417250101 | Bryan Jordon Gibb | Pharmacist | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2010-12-17 |
| 1568795656 | James Dwight Anderson | Pharmacist | 65 Se Goodfellow St, Ontario, OR 97914-3016 | 2009-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
| 1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
| 1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
| 1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
| 1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
| 1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
| 1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
| 1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
| Find all providers in zip 97914 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1790250793 | Kevin Vannukul | Pharmacist | 4355 E Lowell St Ste C, Ontario, CA 91761-2225 | 2018-10-05 |
| 1902393390 | Michael Sehyun Park | Pharmacist | 2920 Inland Empire Blvd Ste 112, Ontario, CA 91764-6581 | 2018-04-20 |
| 1811431521 | Ehab-tawfik Monir Tawfik | Pharmacist | 1520 N Mountain Ave # B106, Ontario, CA 91762-1128 | 2016-12-14 |
| 1861856171 | Celerino Vargas | Pharmacist | 2238 S Euclid Ave Ste A, Ontario, CA 91762-6503 | 2016-04-12 |
| 1215308697 | Timothy Fung | Pharmacist | 2295 S Vineyard Ave # D, Ontario, CA 91761-7925 | 2015-10-12 |
| 1588057764 | Robin B Ujoodha | Pharmacist | 231 Clare Rd, Ontario, OH 44906-1363 | 2015-03-11 |
| 1013327824 | Cindy Younger | Pharmacist | 2543 Fairway Xing, Ontario, OH 44903-6508 | 2014-05-01 |
| 1588090328 | Catherine J Prieto-quan | Pharmacist | 1670 E 4th St, Ontario, CA 91764-2638 | 2013-09-25 |
| 1346676400 | Eric Headlee | Pharmacist | 1648 E Idaho Ave, Ontario, OR 97914-3008 | 2013-09-20 |
| Find all providers in ONTARIO | ||||
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.