WALGREEN CO (NPI# 1942215918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942215918 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #05211 |
| Practice Address |
4350 Oak Park Ln Fort Worth TX 76109-1512 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8179200600 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-05-13 |
| 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 | 19534 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 468025 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4508288 | 01 | |
| TX | 464290 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05211 | 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 |
4350 OAK PARK LN |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76109-1512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851912 | Scott Mclean Foley | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2020-08-16 |
| 1861003741 | Christina Diane Riley | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2020-08-13 |
| 1104456805 | Stephanie Rabino | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2020-01-22 |
| 1487164711 | Stefani Mary Campbell | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2017-09-29 |
| 1528482502 | Walgreen | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2014-02-11 |
| 1245663806 | Khadijah Owens | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2013-08-18 |
| 1255614418 | Purvi Ankit Vashi | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2011-09-23 |
| 1285961631 | Shirley Ann Lupplace | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2009-11-05 |
| 1356678742 | Jill Watkins | Pharmacist | 4350 Oak Park Ln, Fort Worth, TX 76109-1512 | 2009-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
| 1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
| 1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
| 1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
| 1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
| 1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
| 1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
| 1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
| 1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
| 1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
| Find all providers in zip 76109 | ||||
| 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 |
|---|---|---|---|---|
| 1528672342 | Still Living LLC | Pharmacy | 5344a N Tarrant Pkwy, Fort Worth, TX 76244-6293 | 2020-08-31 |
| 1134618648 | A-class Park Place Pharmacy LLC | Pharmacy | 1001 12th Ave Ste 156, Fort Worth, TX 76104-3929 | 2018-05-09 |
| 1053818344 | Texas Digestive Disease Consultants Pllc | Pharmacy | 6317 Harris Pkwy Ste 320, Fort Worth, TX 76132-4256 | 2018-04-12 |
| 1659881423 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 600 S Main St Ste 1.102, Fort Worth, TX 76104-2410 | 2017-10-06 |
| 1467996314 | Westlake Health & Beauty Products | Pharmacy | 5421 Basswood Blvd Ste 700, Fort Worth, TX 76137-4483 | 2016-12-12 |
| 1033663521 | Oncology Pharmacy Services Inc. | Pharmacy | Texas Oncology Pharmacy - Sw Fort Worth, 6500 Harris Parkway Suite #100, Fort Worth, TX 76132 | 2016-08-12 |
| 1992169395 | University of Texas Southwestern Medical Center At Dallas | Pharmacy | 400 W Magnolia Ave Ste 2500, Fort Worth, TX 76104-7617 | 2016-04-12 |
| 1487036687 | Sechanz Enterprises Inc | Pharmacy | 6306 Meadowbrook Dr, Fort Worth, TX 76112-5121 | 2015-06-24 |
| 1174862718 | The Main Pharmacy | Pharmacy | 1226 S Main St, Fort Worth, TX 76104-4803 | 2013-02-01 |
| 1942546395 | Aids Healthcare Foundation | Pharmacy | 400 N Beach St Ste 102, Fort Worth, TX 76111-7070 | 2012-12-12 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76109 |
Please comment or provide details below to improve the information on WALGREEN CO.
| 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.