WALGREEN CO (NPI# 1861407082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861407082 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05263 |
| Practice Address |
11021 Shawnee Mission Pkwy Shawnee KS 66203-3515 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 9132684980 |
| Practice Fax Number | 9132684685 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2015-11-26 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 2-13138 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1211974 | 05 | |
| KS | 100432210A | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1717454 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05263 | 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 |
11021 SHAWNEE MISSION PKWY |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66203-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588431 | Hina Sahar Ali | Pharmacist | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2020-08-14 |
| 1922619972 | Martin Ryan Keegan | Pharmacist | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2020-08-13 |
| 1376958157 | Donald Keeney IIi | Pharmacist | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2014-06-30 |
| 1174891097 | Doyle Alan Tweet | Pharmacist | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2011-12-06 |
| 1114200763 | Candice Underwood | Pharmacist | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2011-09-20 |
| 1366724395 | Jason Bleich | Pharmacist | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2011-09-15 |
| 1629359815 | Amanda Dunning | Pharmacist | 11021 Shawnee Mission Pkwy, Shawnee, KS 66203-3515 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952897621 | Kelsey Rae Nehrig | Physician Assistant | 7420 Switzer Road, Shawnee, KS 66203 | 2018-07-06 |
| 1215452552 | Joshua L Kiene | Dentist | 11005 W 60th St. #240, Shawnee Mission, KS 66203 | 2017-08-08 |
| 1114276730 | Kimberly Rigsby | Marriage & Family Therapist | 8826 Santa Fe Drive, Suite 210, Shawnee, KS 66203 | 2012-08-29 |
| 1851523567 | Sean Cailteux | Chiropractor | 7410 Switzer Rd, Shawnee, KS 66203 | 2009-08-13 |
| 1992228696 | Micha Kimberly Bastian | Pharmacist | 6440 Nieman Rd, Shawnee, KS 66203 | 2017-07-25 |
| 1609275502 | Stacy Corum | Nurse Practitioner | 7440 W Frontage Rd, Merriam, KS 66203 | 2014-08-15 |
| 1285062695 | Elizabeth Marie Frieze | Psychologist | 7501 College Blvd, Suite 250, Overland Park, KS 66203 | 2013-10-22 |
| 1245636166 | Michaels Mission, LLC | Day Training, Developmentally Disabled Services | 4744 Bond St, Shawnee, KS 66203-1017 | 2014-11-05 |
| 1194983114 | Jenny Grace Cho | Surgery | 7420 Switzer, Shawnee, KS 66203-1239 | 2008-05-27 |
| 1154665586 | Lisa Michele Feiring | Speech-Language Pathologist | 9506 W 48th St, Merriam, KS 66203-1297 | 2012-11-26 |
| Find all providers in zip 66203 | ||||
| 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 |
|---|---|---|---|---|
| 1164594958 | Pharm Shawnee Acquisition LLC | Pharmacy | 1006 N Harrison Ave, Shawnee, OK 74801-6419 | 2006-11-15 |
| 1851322820 | K Mart Corp | Pharmacy | 2323 2327 North Harrison, Shawnee, OK 74804-3134 | 2006-07-06 |
| 1265474662 | Citizan Potawatomi Nation Mail Order Pharmacy | Pharmacy | 2307 Gordon Cooper Dr Ste A, Shawnee, OK 74801-9007 | 2006-06-11 |
| 1225082183 | Saleaumua Inc | Pharmacy | 6232 Nieman Rd, Shawnee, KS 66203-2902 | 2006-05-22 |
| 1962629709 | Shawnee Regional Hospital Pharmacy | Pharmacy | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785652 | Arx Patient Solutions, LLC | Pharmacy | 4500 W 107th St Ste 200, Overland Park, KS 66207-4025 | 2020-09-16 |
| 1871115394 | Anderson-rogers Pharmacy LLC | Pharmacy | 1410 Kasold Dr Ste A16, Lawrence, KS 66049-3428 | 2020-05-07 |
| 1770118812 | Oshkins Pharmacy | Pharmacy | 1318 23rd St, Belleville, KS 66935-2500 | 2020-03-09 |
| 1538726880 | University of Kansas Hospital Authority | Pharmacy | 901 N 5th St, Kansas City, KS 66101-2907 | 2019-05-22 |
| 1083186530 | Svdrx Corporation | Pharmacy | 7940 W 151st St, Overland Park, KS 66223-2118 | 2018-12-21 |
| 1205308053 | Lyon Pharmacy Inc | Pharmacy | 921 W Main St, Lyons, KS 67554 | 2018-12-18 |
| 1750852455 | Lakin Drug, LLC | Pharmacy | 610 Oloughlin St, Lakin, KS 67860 | 2018-12-07 |
| 1588130330 | Sigler and Hubbell LLC | Pharmacy | 23351 Prairie Star Pkwy Ste A115, Lenexa, KS 66227-6201 | 2018-10-19 |
| 1861973828 | Dandurand Pharmacy, Inc | Pharmacy | 6227 E 13th St N, Wichita, KS 67208-2654 | 2018-08-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 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.