WALGREEN CO (NPI# 1730196619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730196619 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #06501 |
| Practice Address |
2601 S Georgia St Amarillo TX 79109-1904 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8064688616 |
| Practice Fax Number | 8064689589 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-05-14 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 21221 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 465066 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4518657 | 01 | |
| TX | 470926 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06501 | 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 |
2601 S GEORGIA ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79109-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724881 | Sung Lee | Pharmacist | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2016-08-04 |
| 1427413251 | Sara Labus | Pharmacist | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2015-12-21 |
| 1699117556 | William Matt Randolph | Pharmacist | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2013-07-20 |
| 1982928966 | Buddy W Deford | Pharmacist | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2010-03-20 |
| 1184952939 | Lonnie Donaldson | Pharmacist | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2009-12-04 |
| 1356678247 | Israel Olivas Gamboa | Pharmacist | 2601 S Georgia St, Amarillo, TX 79109-1904 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003455098 | Pamela Dawn George | Counselor | 3807 S. Virginia, Amarillo, TX 79109 | 2019-12-23 |
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1962044941 | Donna Raef Kizziar | Nurse Practitioner | Bsa Urgent Care Clinic, 4510 Bell St., Amarillo, TX 79109 | 2019-10-11 |
| 1730734971 | Suzanne Marie Needham | Speech-Language Pathologist | 49112 Matador, Amarillo, TX 79109 | 2019-08-05 |
| 1477108686 | Danielle Denee' Coleman | Pharmacy Technician | 5807 Sw 45th Ave, Ste 100, Amarillo, TX 79109 | 2019-08-05 |
| 1245795780 | Monica Favela Prieto | Nurse Practitioner | Bsa Urgent Care Clinc, 4510 Bell St., Amarillo, TX 79109 | 2019-02-08 |
| 1598266439 | Catherine Cheyenne Wills | Behavior Technician | 6031 Bell Street, Amarillo, TX 79109 | 2018-02-26 |
| 1053828038 | Anisa Ann Rodriguez-espinoza | Behavior Technician | 6031 Bell, Amarillo, TX 79109 | 2017-12-29 |
| 1336656313 | Johnny Thomas Johansen | Behavior Technician | 6031 Bell St., Amarillo, TX 79109 | 2017-12-29 |
| 1821535683 | Daniel & Max, LLC | Optometrist | 3501 West I-40, Suite A, Amarillo, TX 79109 | 2017-01-31 |
| Find all providers in zip 79109 | ||||
| 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 |
|---|---|---|---|---|
| 1144793357 | Bushland Drug, LLC | Pharmacy | 1600 S. Fm 2381, Amarillo, TX 79124 | 2019-01-10 |
| 1285142885 | Maxor National Pharmacy Services LLC | Pharmacy | 416 S Tyler St, Amarillo, TX 79101-2346 | 2018-01-17 |
| 1629511100 | Uhs Retail Pharmacy LLC | Pharmacy | 1501 S Coulter St Ste A, Amarillo, TX 79106-1770 | 2016-12-01 |
| 1982076147 | Ssa Holdings LLC | Pharmacy | 6010 S Western St Ste 100, Amarillo, TX 79110-3612 | 2015-10-28 |
| 1770907776 | United Supermarkets LLC | Pharmacy | 3552 S Soncy Rd, Amarillo, TX 79119-6672 | 2014-02-11 |
| 1922146257 | Wtrx Healt Center Inc | Pharmacy | 3211 S Coulter St, Amarillo, TX 79106-2720 | 2007-02-01 |
| 1962502203 | Maxor National Pharmacy Services LLC | Pharmacy | 102 Sw 3rd Ave, Amarillo, TX 79101-1443 | 2006-09-25 |
| 1124063649 | Texas Tech University Health Sciences Center | Pharmacy | 1400 S Coulter St Ste 1100, Amarillo, TX 79106-1786 | 2006-06-18 |
| 1932146453 | Albertsons LLC | Pharmacy | 716 I-40 W, Amarillo, TX 79102-3011 | 2006-06-01 |
| 1841237369 | Albertsons LLC | Pharmacy | 4215 Sw 45th Ave, Amarillo, TX 79109-5401 | 2006-06-01 |
| Find all providers in AMARILLO | ||||
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.