WALGREEN CO (NPI# 1952586802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952586802 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #10671 |
| Practice Address |
1260 Nw 35th St Ocala FL 34475-4308 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 3528670373 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2018-05-08 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH23272 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 1032224 | 01 | |
| FL | FL MEDICAID DME | 032558901 | 01 |
| FL | FL MEDICAID | 032558900 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens #10671 | 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 |
1260 NW 35TH ST |
| City | OCALA |
| State | FL |
| Zip Code | 34475-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600086 | Aaezah Z Shafi | Pharmacist | 1260 Nw 35th St, Ocala, FL 34475-4308 | 2011-12-22 |
| 1174892467 | Richard Law | Pharmacist | 1260 Nw 35th St, Ocala, FL 34475-4308 | 2011-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342122 | Gallo Enterprises | Non-emergency Medical Transport (VAN) | 3951 Nw Blitchton Road, Ocala, FL 34475 | 2018-07-17 |
| 1376059642 | Samantha Denise Gray | Behavior Technician | 3856 W Anthony Rd, Ocala, FL 34475 | 2017-12-21 |
| 1487160008 | Leslie Grace Hemp | Behavior Technician | 3856 West Anthony Rd, Ocala, FL 34475 | 2017-12-19 |
| 1154855005 | Homehealth | Home Health | 1717 Nw Pine Avenue, Ocala, FL 34475 | 2017-04-18 |
| 1356883672 | Fifth Circuit Pulic Guardian Corp. | Case Management | 110 Nw 1st St, Courthouse, Ocala, FL 34475 | 2016-11-17 |
| 1003295940 | Open Arms | Home Health Aide | 6775 Nw 6th Ave, Ocala, FL 34475 | 2015-05-26 |
| 1902206121 | Jessica Beylotte | Home Health | 100 Nw 23rd Ave Apt 1101, Ocala, FL 34475 | 2014-08-25 |
| 1306101472 | Shywhann Denise Gray | Licensed Practical Nurse | 2418nw 18th St., Ocala, FL 34475 | 2012-07-05 |
| 1831327162 | Wendy Dawn Sprouse | Counselor | 717 Martin Luther King Jr Avenue, Ocala, FL 34475 | 2009-06-25 |
| 1083835128 | Leslie Therese Shutack | Physical Therapy Assistant | 6658 Nw 4th Ave, Ocala, FL 34475 | 2007-05-02 |
| Find all providers in zip 34475 | ||||
| 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 |
|---|---|---|---|---|
| 1922477579 | Romat Ventures Inc | Pharmacy | 166 Marion Oaks Blvd Ste 9, Ocala, FL 34473-6216 | 2015-09-24 |
| 1306289210 | Eastern Pharmacy Inc | Pharmacy | 2046 W Silver Springs Blvd, Ocala, FL 34475-6366 | 2013-04-10 |
| 1952685257 | Publix Super Markets Inc | Pharmacy | 3035 Se Maricamp Rd, Ocala, FL 34471-6201 | 2011-10-05 |
| 1417289364 | Publix Super Markets Inc | Pharmacy | 2575 Sw 42nd St Unit 100, Ocala, FL 34471-1356 | 2010-02-03 |
| 1598878985 | Centra Rx Inc | Pharmacy | 1326 S Pine Ave, Ocala, FL 34471-6542 | 2006-08-17 |
| 1780621458 | Albertsons LLC | Pharmacy | 2553 E Silver Springs Blvd, Ocala, FL 34470-7009 | 2006-06-01 |
| 1366420176 | Franck's Pharmacy, Inc. | Pharmacy | 1730 Sw 17th St, Ocala, FL 34474-3523 | 2006-01-03 |
| 1568466266 | Gri-san Inc | Pharmacy | 3450 Ne Jacksonville Rd, Ocala, FL 34479-2850 | 2005-06-09 |
| 1093206039 | Ocala Oncology Center, Pl | Pharmacy | 3130 Sw 32nd Ave, Ocala, FL 34474 | 2018-05-25 |
| 1598203903 | Covenant Ventures Inc. | Pharmacy | 1907 Se 58th Ave, Ocala, FL 34480-5847 | 2017-02-06 |
| Find all providers in OCALA | ||||
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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.