WALGREEN CO (NPI# 1851311369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851311369 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #11054 |
| Practice Address |
5319 Pulaski Hwy Perryville MD 21903-2606 |
| Mailing Address |
1901 E Voorhees St M/s #790 Danville IL 61834-4509 |
| Practice Telephone | 4106420003 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-11-26 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | P04505 | MD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 136906700 | 05 | |
| NCPDP | 2125828 | 01 | |
| MD | DME | 418596000 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #11054 | 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 |
5319 PULASKI HWY |
| City | PERRYVILLE |
| State | MD |
| Zip Code | 21903-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164894556 | Mary Williams | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2015-10-23 |
| 1760811566 | Shannan Marie Young | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2013-11-02 |
| 1811240500 | Aubry Jane Tollenger | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2012-10-18 |
| 1356625313 | Ian R Ponen | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2011-10-07 |
| 1043594641 | Sheri Lynn Haupt | Pharmacist | 5319 Pulaski Hwy, Perryville, MD 21903-2606 | 2011-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831568286 | Kimberly Savage | Nurse Practitioner | 703 Rustic Court, Perryville, MD 21903 | 2015-09-16 |
| 1396989927 | Lee Ann Nelson Physical Therapy LLC | Physical Therapist | 4899 Pulaski Highway, Suite A, Perryville, MD 21903 | 2009-04-27 |
| 1407026891 | Sunshine Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 304 Aiken Avenue Unit C, Perryville, MD 21903 | 2008-03-03 |
| 1770669798 | Hoai An Truong | Pharmacist | 5319 Pulaski Highway, Perryville, MD 21903 | 2006-10-31 |
| 1073521431 | Nicole Fay Di Giovanni | Social Worker | 11 A Owenslanding Ct., Perryville, MD 21903 | 2006-08-03 |
| 1922246206 | Union Hospital of Cecil County | Radiology | 4863 Pulaski Hwy, Ste 100 Principio Health Center, Perryville, MD 21903 | 2009-01-26 |
| 1932294303 | Eugene Sloan Craig Jr. | Internal Medicine | Vamhcs, Perry Point, MD 21903 | 2006-10-03 |
| 1619926623 | Heather Mccoy Blackiston | Chiropractor | 4925 Pulaski Hwy Ste B, Perryville, MD 21903-1605 | 2006-05-08 |
| 1740405604 | North East Chiropractic Pa | Physical Therapist | 4925 Pulaski Hwy Ste B, Perryville, MD 21903-1605 | 2007-04-16 |
| 1497137293 | Ati Holdings, LLC | Occupational Therapist | 4853 Pulaski Hwy Ste 315, Perryville, MD 21903-1606 | 2015-06-29 |
| Find all providers in zip 21903 | ||||
| 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 |
|---|---|---|---|---|
| 1720218639 | Perryville Health Care Corporation | Pharmacy | 212 Hospital Ln Ste 103, Perryville, MO 63775-4204 | 2009-07-27 |
| 1508965534 | Perryville Healthcare Corporation | Pharmacy | 212 Hospital Ln Ste 102, Perryville, MO 63775-4204 | 2006-09-22 |
| 1629182696 | Jbr Enterprises Inc | Pharmacy | 112 Houston Ave, Perryville, AR 72126-9451 | 2006-08-18 |
| 1548710841 | Harps Food Stores, Inc. | Pharmacy | 112 Houston Ave, Perryville, AR 72126-9451 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537527 | Obra Pharmacy, LLC | Pharmacy | 15525 New Hampshire Ave, Silver Spring, MD 20905-4077 | 2020-10-27 |
| 1598364275 | Lex Pharmacy LLC | Pharmacy | 26 Solomons Island Rd S, Prince Frederick, MD 20678-5312 | 2020-10-22 |
| 1023615325 | Rx Rhamp LLC | Pharmacy | 11747 Owens Glen Way, North Potomac, MD 20878-2361 | 2020-10-08 |
| 1265049647 | West North Pharmacy, Inc | Pharmacy | 3044 W North Ave Ste A&b, Baltimore, MD 21216-3180 | 2020-09-29 |
| 1316567977 | Jant Pharmacy | Pharmacy | 8771 Piney Orchard Pkwy, Odenton, MD 21113-2245 | 2020-04-23 |
| 1770103707 | Molly Wascher | Pharmacy | 5901 Holabird Ave Ste A2, Baltimore, MD 21224-6015 | 2020-04-20 |
| 1275167827 | Elevation Rx LLC | Pharmacy | 7651 Matapeake Business Dr Ste 114, Brandywine, MD 20613-3038 | 2020-02-22 |
| 1871123000 | Geipe Pharmacy | Pharmacy | 516 N Rolling Rd Ste 101, Catonsville, MD 21228-4141 | 2020-01-15 |
| 1306488853 | Urbana Pharmacy | Pharmacy | 3420 Worthington Blvd Ste B, Frederick, MD 21704-7020 | 2019-10-16 |
| 1609417989 | The Johns Hopkins Hospital | Pharmacy | 5300 Holabird Ave Ste A-1, Baltimore, MD 21224-6010 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | PERRYVILLE |
| Zip Code | 21903 |
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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.