WALGREEN CO (NPI# 1760616841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760616841 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #12681 |
| Practice Address |
1721 E Parks Hwy Wasilla AK 99654-7349 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9076310300 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2016-10-04 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 459 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1028392 | 05 | |
| NCPDP | 0227959 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #12681 | 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 |
1721 E PARKS HWY |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467900639 | Brett Linden | Pharmacist | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2016-09-16 |
| 1336505932 | Matthew Thomsas Folcik | Pharmacist | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2016-01-12 |
| 1114321742 | Robert Gorsline | Pharmacist | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2014-10-10 |
| 1174927800 | Elizabeth Johnson | Pharmacist | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2014-10-09 |
| 1114333929 | Alexander Goldin | Pharmacist | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2014-07-02 |
| 1023362068 | Sylvain Nouvion | Pharmacist | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2012-10-29 |
| 1013284280 | Uriah Josiah Clarkson | Pharmacist | 1721 E Parks Hwy, Wasilla, AK 99654-7349 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| 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 |
|---|---|---|---|---|
| 1538610050 | Pharmacy Partners, LLC | Pharmacy | 3190 E Meridian Park Loop Ste 110, Wasilla, AK 99654-7422 | 2016-10-19 |
| 1295770725 | Fred Meyer Stores Inc | Pharmacy | 1501 E Parks Hwy, Wasilla, AK 99654-8283 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851951 | Bernie's Pharmacy Inc | Pharmacy | 4100 Lake Otis Pkwy Ste 200, Anchorage, AK 99508-5230 | 2020-11-03 |
| 1659851038 | Vonice LLC | Pharmacy | 4311 W Lake Cir, Anchorage, AK 99502 | 2018-08-15 |
| 1710480009 | Girdwood Drug Inc | Pharmacy | 158 Holmgren, Ste 103, Girdwood, AK 99587 | 2018-03-13 |
| 1962900100 | Copper River Native Association | Pharmacy | Mile 111.5 Richardson Highway, Glennallen, AK 99588 | 2018-01-23 |
| 1558894527 | Alaska Family Pharmacy Healy LLC | Pharmacy | 248.1 Mile Parks Highway, Healy, AK 99743 | 2017-04-06 |
| 1164977591 | Pk Rx LLC | Pharmacy | 1035 W Fireweed Ln, Anchorage, AK 99503-1701 | 2016-08-15 |
| 1679931059 | Alaska Native Tribal Health Consortium | Pharmacy | 3900 Ambassador Dr Ste 311, Anchorage, AK 99508-5922 | 2016-02-01 |
| 1992033575 | Frontier Group Inc | Pharmacy | 2217 E Tudor Rd Ste 18, Anchorage, AK 99507-1068 | 2009-11-19 |
| 1376757310 | Three Bears Alaska Inc. | Pharmacy | 8151 E Palmer Wasilla Hwy, Palmer, AK 99645-8468 | 2007-05-09 |
| 1194812024 | Searhc - Alicia Roberts Medical Center Pharmacy | Pharmacy | 13004 Klawock Hollis Highway, Klawock, AK 99925 | 2006-10-10 |
| 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.