WALGREEN CO (NPI# 1962417147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962417147 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09645 |
| Practice Address |
73626 Highway 25 Covington LA 70435-5600 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 9858099842 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-08-29 |
| 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 | 5572RC | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1233374 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1932424 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09645 | 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 |
73626 HIGHWAY 25 |
| City | COVINGTON |
| State | LA |
| Zip Code | 70435-5600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386959476 | John Herbert Finnan Jr. | Pharmacist | 73626 Highway 25, Covington, LA 70435-5600 | 2010-08-12 |
| 1265747661 | Pamela Layton | Pharmacist | 73626 Highway 25, Covington, LA 70435-5600 | 2010-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154707842 | Ashlee L Poolson | Pharmacist | 73626 La-25, Covington, LA 70435 | 2015-08-04 |
| 1154520773 | Darryl Arlton Driggs | Internal Medicine | 17438 Hard Hat Drive, Covington, LA 70435 | 2007-07-13 |
| 1891813515 | Michaela D King | Emergency Medicine | 17438 Hard Hat Dr., Covington, LA 70435 | 2007-03-27 |
| 1477671816 | Suzanne Christine Cristodero | Speech-Language Pathologist | 22350 Hwy 1084, Covington, LA 70435 | 2007-03-26 |
| 1598881625 | Richard Glen Spell | Dentist | 79132 Hwy 40, Covington, LA 70435 | 2007-03-21 |
| 1609950518 | Susanne O. Core | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2006-10-25 |
| 1366725582 | Susanne O. Core Dmd Pdc Family Dentistry | Dentist | 73193 Hwy 25, Covington, LA 70435 | 2011-09-23 |
| 1730427105 | Dale Ellen Standifer | Social Worker | 20050 Medus St, Covington, LA 70435-0162 | 2013-01-20 |
| 1508212036 | Nicholas Jake Foto Jr. | Student in an Organized Health Care Education/Training Program | 22360 Longleaf Dr, Covington, LA 70435-0225 | 2016-05-13 |
| 1013434018 | Anh Thi Phuong Tran | Pharmacist | 437 Saddlebrook Ct, Covington, LA 70435-0530 | 2017-08-29 |
| Find all providers in zip 70435 | ||||
| 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 |
|---|---|---|---|---|
| 1457723074 | Covington Multicare Hospital Pharmacy | Pharmacy | 17700 Se 272nd St Ste 100, Covington, WA 98042-4951 | 2015-10-22 |
| 1487058004 | Layton Pharmacy L.L.C. | Pharmacy | 70457 Highway 21 Ste 118, Covington, LA 70433-8155 | 2014-10-09 |
| 1730594870 | Carmichaels of Covington, Inc. | Pharmacy | 9148 Highway 278 Ne Ste D, Covington, GA 30014-7032 | 2014-06-27 |
| 1952647943 | Bradford Pharmacy LLC | Pharmacy | 1500 Highway 51 S, Covington, TN 38019-3212 | 2012-12-19 |
| 1972651974 | Braswell Drugs Inc | Pharmacy | 1107 S Tyler St, Covington, LA 70433-2327 | 2007-01-08 |
| 1497815989 | Pharmacy Operations, Inc | Pharmacy | 1000 Business 190, Covington, LA 70433-3285 | 2006-12-12 |
| 1467479592 | Walmart Inc. | Pharmacy | 17432 Se 270th Pl, Covington, WA 98042-4962 | 2006-07-16 |
| 1962427898 | Richardsons Pharmacy Inc | Pharmacy | 4104 Tate St, Covington, GA 30014-2551 | 2006-07-13 |
| 1780609339 | The Great Atlantic and Pacific Tea Company Inc | Pharmacy | 50 Park Place Dr, Covington, LA 70433-5183 | 2006-07-13 |
| 1780615815 | K Mart Corp | Pharmacy | 129 Mall Rd, Covington, VA 24426-2413 | 2006-07-06 |
| Find all providers in COVINGTON | ||||
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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.