WALGREEN CO (NPI# 1740297654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740297654 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #07328 |
| Practice Address |
9428 Dyer St El Paso TX 79924-6408 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9157514415 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE |
| 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 | 12439 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 465351 | 05 | |
| TX | 469029 | 05 | |
| NM | 73583065 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4527137 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #07328 | 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 |
9428 DYER ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-6408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252110 | Jacob Gomez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2020-10-14 |
| 1073021655 | Jolene Lettunich | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2018-01-17 |
| 1962808691 | Robert Herberger | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2014-11-06 |
| 1487056529 | William Holley | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2014-09-19 |
| 1699015875 | Alexandra Abbas | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2013-02-25 |
| 1770823163 | Ernest T Asaba | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2013-02-21 |
| 1174896906 | Hoanghai Pham | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2012-02-09 |
| 1619246402 | Sandra Varela | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2011-12-22 |
| 1639447907 | Jennifer Manion | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2011-12-01 |
| 1053624890 | Steve Pedro Lopez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
| 1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
| 1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
| 1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
| 1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
| 1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
| 1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
| 1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
| 1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
| Find all providers in zip 79924 | ||||
| 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 |
|---|---|---|---|---|
| 1679124994 | American Specialty Pharmacy, Inc | Pharmacy | 1015 N Zaragoza Rd Ste C, El Paso, TX 79907-1822 | 2019-09-27 |
| 1205340569 | Albrighton Group Inc. | Pharmacy | 14087 Pebble Hills Blvd Apt 1022, El Paso, TX 79938-2674 | 2017-11-24 |
| 1649716465 | Mesa Pharma Inc | Pharmacy | 310 S Mesa Hills Dr Ste C, El Paso, TX 79912-5881 | 2017-01-18 |
| 1942757166 | Comprehensive Healthcare Services LLC | Pharmacy | 2931 George Dieter Dr Ste C, El Paso, TX 79936-2942 | 2016-09-06 |
| 1841644465 | Ez Scripts LLC | Pharmacy | 3028 Trawood Dr Ste D, El Paso, TX 79936 | 2016-04-20 |
| 1982026811 | Comprehensive Healthcare Services LLC | Pharmacy | 12371 Edgemere Blvd Ste 210, El Paso, TX 79938-4879 | 2014-01-13 |
| 1063756609 | El Paso County Hospital District | Pharmacy | 1485 George Dieter Dr Ste 107, El Paso, TX 79936-7650 | 2012-11-20 |
| 1245516954 | American Specialty Pharmacy Inc | Pharmacy | 1015 N Zaragoza Rd, El Paso, TX 79907-1822 | 2011-10-26 |
| 1679792980 | Hector G. Arredondo | Pharmacy | 3712 Alameda Ave, El Paso, TX 79905-2507 | 2007-04-25 |
| 1720119829 | El Paso County Hospital District | Pharmacy | 9839 Kenworthy St, El Paso, TX 79924-4402 | 2007-03-08 |
| Find all providers in EL PASO | ||||
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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.