WALGREEN CO (NPI# 1871721746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871721746 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #12585 |
| Practice Address |
4444 W Western Ave South Bend IN 46619-2641 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 5742460052 |
| Practice Fax Number | 5742460293 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2016-01-13 |
| 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 | 60006230A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200952080A | 05 | |
| IN | NCPDP | 1562734 | 01 |
| IN | DME IN | 200952080A | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #12585 | 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 |
4444 W WESTERN AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46619-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780088062 | Alina Singh | Pharmacist | 4444 W Western Ave, South Bend, IN 46619-2641 | 2014-10-15 |
| 1205118015 | Leslie Thompson | Pharmacist | 4444 W Western Ave, South Bend, IN 46619-2641 | 2011-09-16 |
| 1063719458 | Jamie Lynn Brazo | Pharmacist | 4444 W Western Ave, South Bend, IN 46619-2641 | 2011-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578015103 | Martin's Super Markets, Inc. | Pharmacy | 525 S. Mayflower Rd, South Bend, IN 46619 | 2016-10-31 |
| 1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
| 1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
| 1740611953 | Cynthia G. Finney | Counselor | 4218 Western Avenue, So Bend, IN 46619 | 2013-12-13 |
| 1437433406 | Angela Nicole Zolvinski | Pharmacist | 4444 W. Western Ave, South Bend, IN 46619 | 2011-10-07 |
| 1871674556 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 4600 W Washington St, South Bend, IN 46619 | 2006-10-18 |
| 1942302203 | April Holtgren | Family Medicine | 1901 #b Western Ave, South Bend, IN 46619 | 2006-09-05 |
| 1447737002 | Graciela Jimenez-martinez | Registered Nurse | 1901 #b Western Avenue, South Bend, IN 46619 | 2018-07-25 |
| 1821397878 | Wright Dream | In Home Supportive Care | 706 S Sheridan St, South Bend, IN 46619 | 2011-03-16 |
| 1740439223 | Scott J. Vanslambrouck | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46619 | 2008-09-09 |
| Find all providers in zip 46619 | ||||
| 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 |
|---|---|---|---|---|
| 1912515644 | Allison Marie Hill | Pharmacy | 3 Spruce Ln, South Bend, WA 98586-9008 | 2020-07-20 |
| 1588737100 | Kroger Limited Partnership I | Pharmacy | 1217 E Ireland Rd, South Bend, IN 46614-3448 | 2006-11-15 |
| 1417036997 | Willapa Harbor Pharmacies Inc | Pharmacy | 101 Willapa Ave, South Bend, WA 98586 | 2006-11-03 |
| 1477656965 | Hook Superx Inc | Pharmacy | 50660 Indiana State Route 933, South Bend, IN 46637-2054 | 2006-09-07 |
| 1649277369 | Mar-main Pharmacy | Pharmacy | 426 N Michigan St, South Bend, IN 46601-1228 | 2005-07-07 |
| 1740832492 | Healthy U Rx Inc. | Pharmacy | 201 S William St, South Bend, IN 46601-2515 | 2019-07-12 |
| 1376941344 | South Bend Specialty Pharmacy LLC | Pharmacy | 54590 Ironwood Rd, South Bend, IN 46635-1617 | 2014-12-08 |
| 1750312815 | K Mart Corp | Pharmacy | 4640 S Michigan St, South Bend, IN 46614-2556 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161909 | Damien Cares Inc. | Pharmacy | 26 N Arsenal Ave Ste B, Indianapolis, IN 46201-3808 | 2020-07-21 |
| 1518507755 | Genoa Healthcare, LLC | Pharmacy | 2007 State St Ste 110, Washington, IN 47501-8505 | 2020-01-15 |
| 1053951210 | Pharmacy Corporation of America | Pharmacy | 6032 Highview Dr Ste C, Fort Wayne, IN 46818-1390 | 2020-01-15 |
| 1629635479 | Medscript Compounding LLC | Pharmacy | 14450 Getz Rd Ste 200, Noblesville, IN 46060-3303 | 2019-05-28 |
| 1346807138 | Genoa Healthcare, LLC | Pharmacy | 3176 Lancer St Ste 102, Portage, IN 46368-4408 | 2019-05-28 |
| 1710444740 | Highcare Pharmacy Inc | Pharmacy | 9030 Cline Ave Ste B, Highland, IN 46322-2204 | 2019-02-26 |
| 1346711611 | Rx for Less Pharmacy | Pharmacy | 10930 Pendleton Pike Ste 102, Indianapolis, IN 46236-3177 | 2018-12-16 |
| 1982197463 | 360 Pharmacy Care LLC | Pharmacy | 2441 Production Dr Ste 101, Indianapolis, IN 46241-4929 | 2018-06-11 |
| 1649784174 | Kroger Limited Partnership I | Pharmacy | 5 Boone Vlg, Zionsville, IN 46077-1231 | 2017-11-20 |
| 1770095333 | Pharmscript of In LLC | Pharmacy | 6825 Hillsdale Ct, Building No 3, Indianapolis, IN 46250-2039 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46619 |
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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.