WALGREEN CO (NPI# 1689689911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689689911 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09202 |
| Practice Address |
1142 W Guadalupe Rd Mesa AZ 85210-7602 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4803457367 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-12-30 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| 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 |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 1701 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 039520 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0313801 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09202 | 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 |
1142 W GUADALUPE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85210-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396397451 | James Ricky Freeman IIi | Pharmacist | 1142 W Guadalupe Rd, Mesa, AZ 85210-7602 | 2019-07-09 |
| 1861917197 | Stephanie Elaine Campbell | Pharmacist | 1142 W Guadalupe Rd, Mesa, AZ 85210-7602 | 2017-08-08 |
| 1518390129 | Timothy Hughes | Pharmacist | 1142 W Guadalupe Rd, Mesa, AZ 85210-7602 | 2013-08-19 |
| 1134435183 | Michael Wisness | Pharmacist | 1142 W Guadalupe Rd, Mesa, AZ 85210-7602 | 2010-08-27 |
| 1265764369 | Ryan James Gerth | Pharmacist | 1142 W Guadalupe Rd, Mesa, AZ 85210-7602 | 2010-02-01 |
| 1104157122 | Mario Mandujano | Pharmacist | 1142 W Guadalupe Rd, Mesa, AZ 85210-7602 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
| 1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
| 1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
| 1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
| 1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
| 1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
| 1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
| 1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
| 1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
| 1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
| Find all providers in zip 85210 | ||||
| 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 |
|---|---|---|---|---|
| 1306472865 | Cordant Pharmacy Arizona, LLC | Pharmacy | 6641 E Baywood Ave Ste 101, Mesa, AZ 85206-1723 | 2020-03-17 |
| 1265899355 | Shree Ji Corporation | Pharmacy | 1245 E Southern Ave Ste 21, Mesa, AZ 85204-5156 | 2016-01-21 |
| 1346585411 | Quick Pharmacy 002 LLC | Pharmacy | 1105 N Mesa Dr, Mesa, AZ 85201-3502 | 2012-11-30 |
| 1497099089 | Pharmcareusa of Phoenix, LLC | Pharmacy | 4320 E Brown Rd Ste 106, Mesa, AZ 85205-4081 | 2012-11-20 |
| 1285876326 | Cigna Health Care of Arizona Inc | Pharmacy | 5735 E Mckellips Rd Ste 101, Mesa, AZ 85215-2875 | 2009-04-06 |
| 1578651360 | Bashas' Inc. | Pharmacy | 1122 N. Higley Rd., Mesa, AZ 85205 | 2006-10-10 |
| 1447348230 | Bashas Inc | Pharmacy | 6720 E Broadway Rd, Mesa, AZ 85206-1700 | 2006-10-10 |
| 1639281629 | Bashas Inc | Pharmacy | 9925 E Baseline Rd, Mesa, AZ 85209-8325 | 2006-08-31 |
| 1578673273 | Costco Wholesale Corporation | Pharmacy | 1444 S Sossaman Rd, Mesa, AZ 85209 | 2006-08-30 |
| 1528173549 | Bashas Inc | Pharmacy | 2864 N Power Rd, Mesa, AZ 85215-1675 | 2006-08-20 |
| Find all providers in MESA | ||||
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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.