WALGREEN CO (NPI# 1689849606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689849606 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11734 |
| Practice Address |
1315 N State St Provo UT 84604-2416 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8016165223 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2016-09-02 |
| 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 | 6945794-1703 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 799140 | 05 | |
| UT | 1689849606 | 05 | |
| NCPDP | 4611035 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #11734 | 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 |
1315 N STATE ST |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095608 | Tracy John Gygi | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2020-08-30 |
| 1285247130 | Daniel Barney | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2020-08-28 |
| 1912399460 | Lacey Bringhurst | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2015-02-20 |
| 1578831699 | Walgreens | Pharmacy | 1315 N State St, Provo, UT 84604-2416 | 2011-12-03 |
| 1184992208 | Niel Kuhner | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2011-12-03 |
| 1194000901 | James C Bawden | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2011-10-13 |
| 1770866568 | Paul Lyman Ashliman | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2011-09-28 |
| 1295018364 | Jeremy Lowell Hawkes | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2011-09-23 |
| 1619259413 | Michael L Stumpe | Pharmacist | 1315 N State St, Provo, UT 84604-2416 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| 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 |
|---|---|---|---|---|
| 1326155037 | Ihc Health Services, Inc. | Pharmacy | 395 W 1230 N Ste 204, Provo, UT 84604-3328 | 2006-08-25 |
| 1215948708 | Park Pharmacy Inc | Pharmacy | 1591 W Center St, Provo, UT 84601-3936 | 2006-08-10 |
| 1659301885 | Red Beaker Inc | Pharmacy | 3661 N Canyon Rd, Provo, UT 84604-4536 | 2006-07-04 |
| 1679546709 | Paul Ream Enterprises | Pharmacy | 2250 N University Pkwy, Provo, UT 84604-1500 | 2006-02-09 |
| 1427658046 | Darrell R Bennett | Pharmacy | 2255 N University Pkwy, Provo, UT 84604-1588 | 2020-11-01 |
| 1730679085 | Oak Hills Pharmacy LLC | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2018-05-12 |
| 1689605701 | K Mart Corp | Pharmacy | 1165 S University Ave, Provo, UT 84601-5954 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093502 | Alan Keith Bennion | Pharmacy | 5761 S Surreyrun Rd, Murray, UT 84107-6610 | 2020-11-07 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1528525508 | Skull Valley Health Clinic | Pharmacy | 1929 N Aaron Dr Ste I, Tooele, UT 84074-8112 | 2019-02-26 |
| 1639649916 | Midland Pharmacy, LLC | Pharmacy | 4815 S 3500 W, Roy, UT 84067-9439 | 2018-11-29 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1114439775 | Fusion Pharmacy LLC | Pharmacy | 617 E Riverside Dr Ste 104, St George, UT 84790 | 2017-11-03 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1770021388 | Crimson Valley Pharmacy LLC | Pharmacy | 2351 S River Rd, Ste 3, Saint George, UT 84790-8280 | 2017-02-02 |
| 1013454396 | Gfy LLC | Pharmacy | 189 S State St Ste 120, Clearfield, UT 84015-1062 | 2017-01-25 |
| 1083157382 | Badger Management LLC | Pharmacy | 725 N Redwood Road, N Salt Lake, UT 84054 | 2016-11-18 |
| 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.