WALGREEN CO (NPI# 1831366913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831366913 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS # 11617 |
| Practice Address |
750 W Victory Way Craig CO 81625-2934 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 9708240155 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PDO-746 | CO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NCPDP | 0620799 | 01 |
| CO | 10307362 | 05 |
| Other Name | Type Code |
|---|---|
| Walgreens # 11617 | 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 |
750 W VICTORY WAY |
| City | CRAIG |
| State | CO |
| Zip Code | 81625-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470473 | Michael Curran | Pharmacist | 750 W Victory Way, Craig, CO 81625-2934 | 2019-10-31 |
| 1720487242 | Natasha Marie Nielson | Pharmacist | 750 W Victory Way, Craig, CO 81625-2934 | 2014-08-20 |
| 1376972836 | Rachelle Won Sein Shoji | Pharmacist | 750 W Victory Way, Craig, CO 81625-2934 | 2013-11-05 |
| 1447529144 | Nicholas Hemeyer | Pharmacist | 750 W Victory Way, Craig, CO 81625-2934 | 2011-12-26 |
| 1477821726 | Laura L Mattingley | Pharmacist | 750 W Victory Way, Craig, CO 81625-2934 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619446481 | County of Moffat | Emergency Medical Technician, Paramedic | 221 W. Victory Way, Suite 130, Craig, CO 81625 | 2018-11-21 |
| 1912374703 | Shannon Mayes | Registered Nurse | 745 Russell Street, Craig, CO 81625 | 2015-08-27 |
| 1407267628 | A & S Counseling | Social Worker | 401 Russell Street, Craig, CO 81625 | 2014-05-09 |
| 1356687727 | Joanne Mattio Snow | Social Worker | 11 W. Victory Way, Suite 209, Craig, CO 81625 | 2012-12-12 |
| 1205163409 | Aerocare Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 512 Yampa Ave, Craig, CO 81625 | 2009-11-09 |
| 1124213665 | Steven Paul Walls | Counselor | 11 West Victory Way, Suite# 209, Craig, CO 81625 | 2007-09-07 |
| 1225170970 | Brittany Corrine Doolin | Registered Nurse | 745 Russel St, Craig, CO 81625 | 2007-02-12 |
| 1225170996 | Ann T Irvin | Registered Nurse | 745 Russell St, Nwcvna Craig Moffat County Rio Blanco Co, Craig, CO 81625 | 2007-02-12 |
| 1578644175 | Northwest Colorado Dental Coalition | Clinic/Center | 485 Yampa Avenue, Craig, CO 81625 | 2006-10-18 |
| 1962438218 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 505 W Victory Way, Craig, CO 81625 | 2006-06-25 |
| Find all providers in zip 81625 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890696 | Honest Oak LLC | Pharmacy | 550 5th Street, Suite 2, Calhan, CO 80808 | 2020-10-30 |
| 1245843150 | Tommy Ho | Pharmacy | 5864 W Mexico Ave, Lakewood, CO 80232-7044 | 2020-08-28 |
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1952913071 | Strive Pharmacy Denver LLC | Pharmacy | 11405 E Briarwood Ave Ste 300, Centennial, CO 80112-3848 | 2020-08-19 |
| 1669082517 | Rapharx LLC | Pharmacy | 1260 S Parker Rd Ste B, Denver, CO 80231-8064 | 2020-08-05 |
| 1285254763 | Capsule Denver LLC | Pharmacy | 1441 Wazee St Ste 103, Denver, CO 80202-5952 | 2020-04-24 |
| 1770114407 | Four Corners Pharmacy, LLC | Pharmacy | 575 Rivergate Ste 110, Durango, CO 81301-7487 | 2020-01-31 |
| 1477183275 | Cvs Pharmacy Inc | Pharmacy | 4005 E 8th Pl, Denver, CO 80220-3942 | 2020-01-21 |
| 1689217861 | 888 Pharmacy Inc | Pharmacy | 5092 W 92nd Ave Ste D-8, Westminster, CO 80031-6302 | 2019-10-21 |
| 1851942023 | Children's Hospital Colorado | Pharmacy | 860 N Potomac Circle, Aurora, CO 80011-6714 | 2019-09-27 |
| 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.