WALGREEN CO (NPI# 1891700928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891700928 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05870 |
| Practice Address |
14004 Walsingham Rd Largo FL 33774-3232 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7275965722 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-05-07 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | PH0010361 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100725400 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1060780 | 01 | |
| FL | 100725401 DME | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05870 | 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 |
14004 WALSINGHAM RD |
| City | LARGO |
| State | FL |
| Zip Code | 33774-3232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912455346 | Kimberly Farabaugh | Pharmacist | 14004 Walsingham Rd, Largo, FL 33774-3232 | 2016-09-14 |
| 1205181955 | Salvatore J Sirico | Pharmacist | 14004 Walsingham Rd, Largo, FL 33774-3232 | 2012-07-18 |
| 1366712630 | William Eugene Swager Iv | Pharmacist | 14004 Walsingham Rd, Largo, FL 33774-3232 | 2012-01-04 |
| 1992075493 | Janice Foster | Pharmacist | 14004 Walsingham Rd, Largo, FL 33774-3232 | 2011-12-31 |
| 1275802951 | Thanhthuy Thi Luu | Pharmacist | 14004 Walsingham Rd, Largo, FL 33774-3232 | 2011-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| 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 |
|---|---|---|---|---|
| 1225430911 | Publix Super Markets Inc | Pharmacy | 12022 Indian Rocks Rd, Largo, FL 33774-3215 | 2014-09-24 |
| 1710225008 | Physicians Rx Pharmacy LLC | Pharmacy | 9701 Apollo Dr Ste 400, Largo, MD 20774-4791 | 2013-01-22 |
| 1558616391 | Mathew Management II, Inc. Dba Bay Breeze Rx | Pharmacy | 3350 E Bay Dr, Largo, FL 33771-1925 | 2012-07-18 |
| 1144467143 | Michaels Pharmacy | Pharmacy | 11987 Seminole Blvd, Largo, FL 33778-2804 | 2009-01-13 |
| 1528123957 | Lurds Inc | Pharmacy | 11152 Starkey Rd, Largo, FL 33773-4820 | 2006-12-26 |
| 1073673208 | Davita Medical Florida, Inc. | Pharmacy | 11920 Seminole Blvd, Largo, FL 33778-2803 | 2006-12-11 |
| 1013948124 | K Mart Corp | Pharmacy | 1000 Missouri Ave N, Largo, FL 33770-1814 | 2006-07-06 |
| 1427096502 | Albertsons LLC | Pharmacy | 3825 E Bay Dr, Largo, FL 33771-1936 | 2006-06-02 |
| 1083651517 | Albertsons LLC | Pharmacy | 13031 Walsingham Rd, Largo, FL 33774-3514 | 2006-06-01 |
| 1700848678 | Baycare Homecare Inc | Pharmacy | 8452 118th Ave North, Largo, FL 33773 | 2006-04-05 |
| Find all providers in LARGO | ||||
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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.