WALGREEN CO . (NPI# 1902388119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902388119 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO . |
| Other Organization Name | COMMUNITY, A WALGREENS PHARMACY #21195 |
| Practice Address |
28311 Marguerite Pkwy # B-1 Mission Viejo CA 92692-3700 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7146713161 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | KIRA L TAYLOR (MANAGER) |
| Authorized Official Telephone | 2177092351 |
| 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 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 5667083 | 01 |
| CA | 1902388119 | 05 |
| Other Name | Type Code |
|---|---|
| Community, A Walgreens Pharmacy #21195 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043666951 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 254 Easton Ave Ste 100g, New Brunswick, NJ 08901 | 2016-05-10 |
| 1336504695 | Walgreen Co . | Pharmacy | 805 Pamplico Hwy Ste B130, Florence, SC 29505-6049 | 2015-12-30 |
| 1407227317 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 1702 Kuser Rd, Hamilton, NJ 08690-3704 | 2015-10-19 |
| 1356710396 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 465 Kearny Ave, Kearny, NJ 07032 | 2015-09-21 |
| 1982080891 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 245 State Rt 23, Franklin, NJ 07416 | 2015-08-03 |
| 1487037727 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 395 Broad St, Red Bank, NJ 07701 | 2015-07-06 |
| 1740532316 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 7401 River Rd, North Bergen, NJ 07047 | 2012-10-08 |
| 1609144377 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 3508 Kennedy Blvd, Union City, NJ 07087 | 2011-12-08 |
| 1598158511 | Walgreen Co . | Durable Medical Equipment & Medical Supplies | 750 Main St, Paterson, NJ 07503-2640 | 2015-03-16 |
| Street Address |
28311 MARGUERITE PKWY # B-1 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92692-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386177319 | Thomas David Clevenger | Respiratory Therapist, Registered | 27821 Barbate, Mission Viejo, CA 92692 | 2017-04-06 |
| 1679926349 | Advanced Behavioral Learning Environment | Behavioral Analyst | 24522 Aguirre, Mission Viejo, CA 92692 | 2016-07-19 |
| 1619216827 | Podiatry Hotline Inc | Clinic/Center | 20532 El Toro Rd Ste 111, Mission Viejo, CA 92692 | 2013-02-07 |
| 1609165356 | Shota Yamamoto | Radiology | 26161 Marguerite Pkwy Ste A, Mission Viejo, CA 92692 | 2011-04-04 |
| 1376842328 | Orange County Urogynecology, A Medical Corp. | Urology | 25108 Marguerite Pkwy, A-259, Mission Viego, CA 92692 | 2011-03-16 |
| 1528368180 | Jihad Naim Bayaa | Pharmacist | 26406 Lombardy Rd, Mission Viejo, CA 92692 | 2010-10-29 |
| 1588971162 | Emmanuel Angeles, D.d.s., Inc. | Dentist | 32065 Temecula Pkwy, #c, Temecula, CA 92692 | 2010-09-03 |
| 1063670768 | Mission Viejo Dental Associates | Clinic/Center | 25522 Marguerite Parkway, #100, Mission Viejo, CA 92692 | 2008-05-29 |
| 1205001435 | Moroni Chs Inc | Voluntary or Charitable | 21663 Paseo Casiano, Mission Viejo, CA 92692 | 2008-04-29 |
| 1730386988 | Turning Point Treatment Center | Substance Abuse Rehabilitation Facility | 23181 Tiagua Streer, Mission Viejo, CA 92692 | 2007-06-29 |
| Find all providers in zip 92692 | ||||
| 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 |
|---|---|---|---|---|
| 1316390552 | T & G Healthcare Inc | Pharmacy | 24031 Marguerite Pkwy, Ste A, Mission Viejo, CA 92692-1929 | 2016-07-22 |
| 1609159250 | C3 Healthcarerx LLC | Pharmacy | 28251 Marguerite Pkwy Ste D, Mission Viejo, CA 92692-3721 | 2011-09-21 |
| 1962723270 | Razi Pharmacy Inc. | Pharmacy | 23162 Los Alisos Blvd, Suite 102a, Mission Viejo, CA 92691-2843 | 2010-06-21 |
| 1831290840 | B.b.w. Drug Corporation | Pharmacy | 24031 Marguerite Pkwy Ste A, Mission Viejo, CA 92692-1929 | 2006-09-25 |
| 1255994885 | Hang Thu Le | Pharmacy | 27750 Santa Margarita Pkwy, Mission Viejo, CA 92691-6653 | 2019-04-18 |
| 1215076260 | Miku Pharmacy Inc | Pharmacy | 26902 Oso Pkwy, Ste 160, Mission Viejo, CA 92691-5801 | 2007-02-06 |
| 1154478477 | Kaiser Foundation Health Plan Inc | Pharmacy | 23781 Maquina, Mission Viejo, CA 92691-2716 | 2007-01-05 |
| 1346347184 | Botrosons Pharmaceutical Inc | Pharmacy | 26732 Crown Valley Pkwy, Suite 101, Mission Viejo, CA 92691-6306 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | MISSION VIEJO |
| Zip Code | 92692 |
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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.