WALGREEN CO


Address: 621 Route 22a N, Fair Haven, VT 05743-9239
Phone: 8022653760

WALGREEN CO (NPI# 1730602335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730602335
Entity Type Organization
Organization Name WALGREEN CO
Other Organization Name WALGREENS #18354
Practice Address 621 Route 22a N
Fair Haven
VT 05743-9239
Mailing Address 1901 E Voorhees St # Ms 790
Danville
IL 61834-4509
Practice Telephone 8022653760
Practice Fax Number 8022654861
Mailing Telephone 2177092386
Mailing Fax Number 2177092344
Enumeration Date 2017-07-25
Last Update Date 2018-10-19
Authorized Official Name ALYSSA SWEETEN (MANGER)
Authorized Official Telephone 2177092386
Is Organization Subpart Y
Parent Organization Name WALGREENS BOOTS ALLIANCE INC

Taxonomy

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 Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
VT BOARD OF PHARMACY 038.0134038 01
VT 1031624 05

Other Provider/Organization Names

Other Name Type Code
Rite Aid Doing Business As Name - Organization
Walgreens #18354 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 621 ROUTE 22A N
City FAIR HAVEN
State VT
Zip Code 05743-9239

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104437813 Mallory Anne Ketcham Pharmacist 621 Route 22a N, Fair Haven, VT 05743-9239 2020-08-14
1942319249 Rite Aid of Vermont Inc Durable Medical Equipment & Medical Supplies 621 Route 22a N, Fair Haven, VT 05743-9239 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700055738 Dru Ann Pollinger Veterinarian 799 Rte 22a North, Fair Haven Animal Hospital, Fair Haven, VT 05743 2008-02-25
1720261787 Nathan Fiske Pharmacist 62 Washington Street, Fair Haven, VT 05743 2007-12-13
1265645097 The Owen House Ltd Custodial Care Facility 3 Union St, Fair Haven, VT 05743-1028 2007-05-08
1215934583 Ryan P Mahar Physical Therapist 28 4th St, Fair Haven, VT 05743-1053 2005-07-01
1790162212 Donna P Johnson Physical Therapy PC Physical Therapist 28 4th St, Fair Haven, VT 05743-1053 2015-05-05
1730466756 Emily J Macura Physical Therapist 28 4th St, Fair Haven, VT 05743-1053 2011-11-04
1316945777 Donna Plante Physical Therapist 28 4th St, Fair Haven, VT 05743-1053 2005-07-11
1255338539 Donna P Johnson Physical Therapy PC Physical Therapist 28 4th St, Fair Haven, VT 05743-1053 2005-07-01
1154432540 Jack Hamilton Dentist 129b N Main St, Fair Haven, VT 05743-1132 2006-08-31
1174814156 H & K Dental Services,plc Clinic/Center 129b N Main St, Fair Haven, VT 05743-1132 2011-04-26
Find all providers in zip 05743

Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316455256 Genoa Healthcare, LLC Pharmacy 72 Harrel St Ste A03, Morrisville, VT 05661-8526 2018-01-12
1497264899 Chelsea Pharmacy LLC Pharmacy 356 Vt-110, Chelsea, VT 05038 2017-09-28
1821359282 Pharmacy Health Services Inc Pharmacy 61 Pine St Ste 401, Bristol, VT 05443-1043 2012-06-01
1023312964 Ludlow Pharmacy Inc Pharmacy 57 Pond St, Ludlow, VT 05149-1083 2011-01-07
1295044840 Smith & Peck Pharmacy Management Services Inc Pharmacy 242 River St, Springfield, VT 05156-2306 2010-09-30
1366578114 Kelley Pharmacy Inc Pharmacy 42 Timber Ln, South Burlington, VT 05403-7204 2007-02-26
1972648129 The Drug Store Inc Pharmacy Village Square, Suite 7, Waitsfield, VT 05673-0391 2007-02-21
1124166624 Jo-mar Inc. Pharmacy 921 Us Rt 302, Barre, VT 05641-4465 2007-02-05
1427112861 University of Vermont Medical Center Inc Pharmacy 111 Colchester Ave # Mp3, Burlington, VT 05401-1473 2006-12-20
1669549150 Browns Drug Store Pharmacy 40 Main, Derby Line, VT 05830 2006-11-29
Find all providers with the same taxonomy

Competitor

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City FAIR HAVEN
Zip Code 05743

Improve Information

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Dataset Information

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.

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