WALGREEN CO. (NPI# 1770772014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770772014 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO. |
| Other Organization Name | WALGREENS #11464 |
| Practice Address |
1114 E Main St Brownsville TN 38012-2621 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7317721170 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2016-01-11 |
| 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 | 4457 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 4440791 | 01 | |
| TN | 4440791 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #11464 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733222 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 418 Us Highway 22 W, Whitehouse Station, NJ 08889 | 2015-06-29 |
| 1215334651 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1 Eddie Dowling Hwy, North Smithfield, RI 02896-7305 | 2014-12-01 |
| 1093112708 | Walgreen Co. | Pharmacy | 500 Route 530, Whiting, NJ 08759 | 2014-11-24 |
| 1164821070 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 339 Matawan Rd, Matawan, NJ 07747-3901 | 2014-08-15 |
| 1306198973 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 447 Belmont Ave, Haledon, NJ 07508-1368 | 2012-10-08 |
| 1437423670 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 901 S Rancho Dr Ste 20, Las Vegas, NV 89106 | 2012-03-06 |
| 1396018883 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 115 N Euclid Ave Ste A, Saint Louis, MO 63108-1503 | 2012-02-15 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1588936850 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 4101 Greenbriar Dr Ste 235, Houston, TX 77098 | 2012-02-02 |
| 1467724716 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 8490 Santa Monica Blvd Ste 1, West Hollywood, CA 90069-4261 | 2012-02-02 |
| 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 |
1114 E MAIN ST |
| City | BROWNSVILLE |
| State | TN |
| Zip Code | 38012-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467065912 | Brittany Spears | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2020-08-25 |
| 1104439736 | Michael Duncan | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2020-08-24 |
| 1003428723 | Dan Guinn V | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2020-08-24 |
| 1700497690 | Mary Phillips Roberts | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2020-08-13 |
| 1952709917 | Rachel Kelly | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2014-12-08 |
| 1457750614 | Derek Cannon | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2014-08-13 |
| 1053753624 | Martha Williams | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2013-07-24 |
| 1477866507 | Melvin Acuff Cox | Pharmacist | 1114 E Main St, Brownsville, TN 38012-2621 | 2010-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598309213 | Henrietta Butler-shaw | Technician | 43 Autumn Dr., Brownsville, TN 38012 | 2019-11-06 |
| 1083711535 | Jaime Montoya Chavez | Legal Medicine | Box 291, Brownsville, TN 38012 | 2006-09-19 |
| 1083628432 | Bernasue Valerie Mcelrath | Chiropractor | 37 S Wilson Ave, Brownsville, TN 38012 | 2006-07-28 |
| 1427094655 | Gary Dean Pettigrew | Pharmacist | 2288 N Washington Ave, Quality Drug Company, Brownsville, TN 38012 | 2006-06-22 |
| 1184674590 | Jason Lowell Smothers | Optometrist | 1100 S Dupree Ave, Brownsville, TN 38012 | 2006-05-10 |
| 1972568749 | Crestview Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 704 Dupree Rd, Brownsville, TN 38012 | 2006-04-17 |
| 1003302951 | Faith Family Medical Clinic, LLC | Nurse Practitioner | 511 E Main St, Brownsville, TN 38012 | 2018-07-03 |
| 1780073213 | Robert Franklin Callery | Registered Nurse | 511 E Main St, Brownsville, TN 38012 | 2015-01-21 |
| 1184055345 | Ray Wakefield | Nurse Practitioner | 2290 N Washington Ave, Brownsville, TN 38012 | 2013-12-12 |
| 1821148073 | State of Tennessee | Public Health or Welfare | 950 East Main Street, Brownsville, TN 38012 | 2007-01-11 |
| Find all providers in zip 38012 | ||||
| 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 |
|---|---|---|---|---|
| 1770950339 | Rgv Compounding Pharmacy | Pharmacy | 100 Uptown Ave # 110-b, Brownsville, TX 78520-7559 | 2015-08-29 |
| 1831456029 | Ruiz Pharmacy | Pharmacy | 1405 E Jefferson St, Brownsville, TX 78520-5755 | 2012-04-12 |
| 1790927424 | Ranram LLC | Pharmacy | 1740 Boca Chica Blvd Ste 400, Brownsville, TX 78520-8146 | 2009-03-26 |
| 1902951023 | Pedro Manuel Yzaguirre | Pharmacy | 4682 Lakeway Dr, Brownsville, TX 78520-9264 | 2007-01-25 |
| 1750436101 | Pedro Manuel Yzaguirre Jr | Pharmacy | 5235 Southmost Rd Ste C, Brownsville, TX 78521-8052 | 2007-01-24 |
| 1902964711 | International Pharmacies Inc | Pharmacy | 3127 International Blvd, Brownsville, TX 78521-3213 | 2006-12-05 |
| 1861585044 | Pharmacon Holding Co Inc | Pharmacy | 609 National Pike E, Brownsville, PA 15417-9603 | 2006-10-02 |
| 1073612313 | Thrift Drug Inc | Pharmacy | 37 Market St, Brownsville, PA 15417-1764 | 2006-09-22 |
| 1295841849 | K V Early Inc | Pharmacy | 1080 E Los Ebanos Blvd, Brownsville, TX 78520-9988 | 2006-08-23 |
| 1497797203 | Latin American Pharmacy Inc. | Pharmacy | 3914 Pardes Ln Rd, Brownsville, TX 78526-1184 | 2006-06-13 |
| Find all providers in BROWNSVILLE | ||||
| City | BROWNSVILLE |
| Zip Code | 38012 |
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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.