WALGREEN CO (NPI# 1780699041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780699041 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #06692 |
| Practice Address |
4766 E Queen Creek Rd Gilbert AZ 85297-8005 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4809881908 |
| Practice Fax Number | 4809885406 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-12-01 |
| 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 | Y03856 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200812930A | 05 | |
| AZ | 829640 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0327797 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06692 | 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 |
4766 E QUEEN CREEK RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750862520 | Heesun Stephanie Park | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2018-08-28 |
| 1053838201 | Haleigh Renee Slinker | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2017-08-28 |
| 1588103378 | Vu M Le | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2017-02-14 |
| 1013450238 | Stephanie Streit | Nurse Practitioner | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2016-11-19 |
| 1184176877 | Tram Phan | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2016-10-27 |
| 1497091854 | Sarah Joy Locke | Nurse Practitioner | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2012-12-12 |
| 1609157684 | Michael Wayne Keaton | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2011-09-02 |
| 1891007795 | Charles Stuart Quist | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2010-07-08 |
| 1477884344 | Muhannad Abawi | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2010-01-16 |
| 1376873596 | David Rugolo | Pharmacist | 4766 E Queen Creek Rd, Gilbert, AZ 85297-8005 | 2010-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| 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 |
|---|---|---|---|---|
| 1982267969 | New Pharmacy Ventures, LLC | Pharmacy | 2450 E Guadalupe Rd Ste 110, Gilbert, AZ 85234-5116 | 2019-04-16 |
| 1932348489 | Cigna Health Care of Arizona Inc | Pharmacy | 3530 S Val Vista Dr Ste 101, Suite 101, Gilbert, AZ 85297-7319 | 2009-02-06 |
| 1295845899 | Costco Wholesale Corporation | Pharmacy | 2887 S Market St, Gilbert, AZ 85295 | 2006-08-30 |
| 1932219532 | Costco Wholesale Corporation | Pharmacy | 1415 N Arizona Ave, Gilbert, AZ 85233 | 2006-08-30 |
| 1902849235 | Smiths Food & Drug Centers Inc | Pharmacy | 855 W Warner Rd, Gilbert, AZ 85233-7267 | 2006-06-14 |
| 1952343592 | Smiths Food & Drug Centers Inc | Pharmacy | 1845 E Baseline Rd, Gilbert, AZ 85233-1545 | 2006-06-11 |
| 1912949587 | Smiths Food & Drug Centers Inc | Pharmacy | 3751 E Baseline Rd, Gilbert, AZ 85234-2648 | 2006-06-11 |
| 1598704975 | Albertsons LLC | Pharmacy | 750 N Gilbert Rd, Gilbert, AZ 85234-4719 | 2006-06-04 |
| 1063459493 | Albertsons LLC | Pharmacy | 717 W Ray Rd, Gilbert, AZ 85233-8443 | 2006-06-02 |
| 1013909969 | Cigna Health Care of Arizona Inc | Pharmacy | 4001 E Baseline Rd, Ste 107, Gilbert, AZ 85234-2726 | 2005-08-17 |
| Find all providers in GILBERT | ||||
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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.