WALGREEN CO (NPI# 1720503485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720503485 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #19708 |
| Practice Address |
395 Danforth Ave Jersey City NJ 07305-1975 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2012009801 |
| Practice Fax Number | 2013240735 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2019-09-18 |
| 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 | 28RS00509200 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0611476 | 05 | |
| NJ | NCPDP | 3153931 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #3375 | Doing Business As Name - Organization |
| Walgreens #19708 | 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 |
395 DANFORTH AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07305-1975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639159031 | Eugenio A Pulmano | Internal Medicine | 395 Danforth Ave, Jersey City, NJ 07305-1906 | 2006-01-20 |
| 1306337209 | Broadstreet Healthcare Inc | Internal Medicine | 395 Danforth Ave, Jersey City, NJ 07305-1975 | 2018-05-25 |
| 1114207826 | Janak D Patel | Pharmacist | 395 Danforth Ave, Jersey City, NJ 07305-1975 | 2011-08-25 |
| 1427378496 | Ruslana Shteyn | Pharmacist | 395 Danforth Ave, Jersey City, NJ 07305-1975 | 2010-06-01 |
| 1831327303 | Christopher Oyinkolade | Pharmacist | 395 Danforth Ave, Jersey City, NJ 07305-1975 | 2009-06-23 |
| 1376780890 | Winston C Umali Md PC | Clinic/Center | 395 Danforth Ave, Jersey City, NJ 07305-1975 | 2009-01-21 |
| 1740397181 | Parvez Alam | Internal Medicine | 395 Danforth Ave, Jersey City, NJ 07305 | 2006-08-23 |
| 1447365127 | Vicente Umali Pediatric Assocs LLC | Pediatrics | 395 Danforth Ave, Danforth Plaza, Jersey City, NJ 07305 | 2006-08-20 |
| 1740395433 | Winston Caraos Umali | Pediatrics | 395 Danforth Ave, Danforth Plaza, Jersey City, NJ 07305 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584358 | Lloyd Maquiling | Physical Therapist | 198 Old Bergen Rd #2622, Jersey City, NJ 07305 | 2020-06-27 |
| 1487293932 | Acj Consultants, Inc. | Counselor | 1600 Kennedy Blvd, Jersey City, NJ 07305 | 2020-01-02 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1538669759 | Marie Day | Home Health Aide | 1709 Kennedy Boulevard, Jersey City, NJ 07305 | 2018-02-14 |
| 1881100162 | Heather Primus | Assistant Behavior Analyst | 120 Seaview Avenue, Ground Floor, Jersey City, NJ 07305 | 2017-12-21 |
| 1932642816 | Reem H Salem | Physical Therapist | 2120 John F Kennedy Blvd, Jersey City, NJ 07305 | 2016-11-28 |
| 1629449020 | Anjanie Persaud | Pharmacist | 260 Armstrong Ave, Jersey City, NJ 07305 | 2015-10-12 |
| 1518334440 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 321 State Rt 440, Jersey City, NJ 07305 | 2015-08-26 |
| 1306212832 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9-11 Kensington Avenue, Jersey City, NJ 07305 | 2015-08-19 |
| 1144628397 | Martin Rodriguez | Counselor | 110 Martin Luther Drive, Jersey City, NJ 07305 | 2014-12-19 |
| Find all providers in zip 07305 | ||||
| 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 |
|---|---|---|---|---|
| 1962966861 | Lasani Pharmacy Inc. | Pharmacy | 381 Communipaw Ave, Jersey City, NJ 07304-3723 | 2019-01-24 |
| 1831680776 | Next Generation Pharmacy Nj LLC | Pharmacy | 296 Palisade Ave, Jersey City, NJ 07307-1814 | 2018-05-26 |
| 1578050357 | Health Smart Pharmacy & Convenience Store LLC | Pharmacy | 2709 John F Kennedy Blvd, Jersey City, NJ 07306-5763 | 2018-04-18 |
| 1497254676 | Block Pharmacy Rx LLC | Pharmacy | 636 Newark Ave, Jersey City, NJ 07306-2382 | 2018-02-02 |
| 1285000950 | Ahnd Group Corp | Pharmacy | 8 Baldwin Ave Ste B, Jersey City, NJ 07304-3154 | 2015-08-18 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1396129995 | Downtown Management LLC | Pharmacy | 201 Morris Blvd, Jersey City, NJ 07302-7380 | 2015-07-13 |
| 1659700656 | Central Pharmacy Inc | Pharmacy | 438 Central Ave, Jersey City, NJ 07307-2727 | 2013-11-11 |
| 1851725964 | Vitalis Drugs LLC | Pharmacy | 3495 John F Kennedy Blvd, Jersey City, NJ 07307-4119 | 2013-08-26 |
| 1790129948 | Sip Pharmacy | Pharmacy | 54 Sip Ave, Jersey City, NJ 07306-3107 | 2013-04-18 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07305 |
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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.