WALGREEN CO (NPI# 1740295633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740295633 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #03022 |
| Practice Address |
819 N Memorial Dr Racine WI 53404-3270 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2626373900 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-09-23 |
| 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 | 7371 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33087900 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 5100374 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03022 | 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 |
819 N MEMORIAL DR |
| City | RACINE |
| State | WI |
| Zip Code | 53404-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205103967 | Christopher J Folk | Pharmacist | 819 N Memorial Dr, Racine, WI 53404-3270 | 2011-11-23 |
| 1346525045 | Jennifer Koenig | Pharmacist | 819 N Memorial Dr, Racine, WI 53404-3270 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686001 | Rosamaria E Garcia | Registered Nurse | 1120 Hartman Ct, Racine, WI 53404 | 2018-10-29 |
| 1912372418 | Avada Audiology and Hearing Care | Preferred Provider Organization | 813 Fox Lane Suite B, Waterford, WI 53404 | 2015-12-09 |
| 1215095096 | Bonnie Lee Wirfs | Internal Medicine | 2000 Domanik Drive, Racine, WI 53404 | 2006-12-05 |
| 1992813893 | Craig E Fleury | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1174631089 | Greg L Smart | Dentist | 7117 Green Bay Road, Racine, WI 53404 | 2006-08-29 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1649560871 | Abby Healthcare Staffing, LLC | Home Health | 3406 Killips Ln, Racine, WI 53404-1310 | 2011-04-08 |
| 1114071917 | Ib Thostrup | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1417001140 | Thostrup Chiropractic, S.c. | Chiropractor | 2827 Rapids Dr, Racine, WI 53404-1620 | 2007-01-22 |
| 1578620423 | Sally Jean Brown | Chiropractor | 2609 Rapids Dr, Racine, WI 53404-1741 | 2007-01-02 |
| Find all providers in zip 53404 | ||||
| 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 |
|---|---|---|---|---|
| 1912019837 | Nutritional Designs LLC | Pharmacy | 5220 Washington Ave Ste 101, Racine, WI 53406-4228 | 2006-08-31 |
| 1285680793 | Jewel Food Stores Inc | Pharmacy | 5740 Washington Ave, Racine, WI 53406-4018 | 2006-05-26 |
| 1154325199 | Lakeview Pharmacy of Racine Inc | Pharmacy | 516 Monument Sq, Racine, WI 53403-1033 | 2005-06-08 |
| 1063416097 | Lakeview Pharmacy of Racine Inc | Pharmacy | 517 Wisconsin Ave, Racine, WI 53403-1050 | 2005-06-08 |
| 1902931702 | Aurora Pharmacy, Inc. | Pharmacy | 5740 Washington Ave, Racine, WI 53406-4018 | 2007-02-22 |
| 1790878122 | Ascension All Saints Hospital, Inc | Pharmacy | 1244 Wisconsin Ave, Racine, WI 53403-1987 | 2006-09-30 |
| 1407887540 | K Mart Corp | Pharmacy | 2211 S Green Bay Rd, Racine, WI 53406-4919 | 2006-07-06 |
| 1174579528 | Shopko Stores Operating Co LLC | Pharmacy | 4801 Washington Ave, Racine, WI 53406-4219 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355002 | Long Life Pharmacy 2 LLC | Pharmacy | 1225 W Historic Mitchell St Ste 217, Milwaukee, WI 53204-3382 | 2020-11-01 |
| 1710527783 | Sage Specialty Pharmacy Inc. | Pharmacy | 4001 N. Oakland Ave, Shorewood, WI 53211 | 2020-01-08 |
| 1790333623 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200w, Milwaukee, WI 53226-3522 | 2019-09-04 |
| 1225686405 | Froedtert Health Pharmacy LLC | Pharmacy | 9200 W Wisconsin Ave Ste 200c, Milwaukee, WI 53226-3522 | 2019-08-30 |
| 1134777337 | Froedtert Health Pharmacy LLC | Pharmacy | 11430 N Port Washington Rd Ste 103, Mequon, WI 53092-3414 | 2019-08-30 |
| 1619524766 | University Rx LLC | Pharmacy | 133 E College Ave, Appleton, WI 54911 | 2019-08-23 |
| 1053967026 | Accurabenefits, LLC | Pharmacy | 2413 Woodland Ter, Neenah, WI 54956-4824 | 2019-08-14 |
| 1184276917 | St. Clare Health Mission Pharmacy | Pharmacy | 916 Ferry St, La Crosse, WI 54601-4717 | 2019-07-11 |
| 1851851141 | Dean Retail Services, Inc. | Pharmacy | 740 Reena Ave Ste 300, Fort Atkinson, WI 53538-3145 | 2019-03-22 |
| 1093287237 | Del Mar Pharmacy Sc | Pharmacy | 1000 S Cesar E Chavez Dr, Milwaukee, WI 53204-2203 | 2018-12-28 |
| 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.