WALGREEN CO (NPI# 1962926139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962926139 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #18990 |
| Practice Address |
3590 E Tremont Ave Bronx NY 10465-2005 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7187929258 |
| Practice Fax Number | 7187925068 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2019-09-27 |
| 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 | 036373 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05069654 | 05 | |
| NY | NCPDP | 5824582 | 01 |
| Other Name | Type Code |
|---|---|
| Rite Aid #10544 | Doing Business As Name - Organization |
| Walgreens #18990 | 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 |
3590 E TREMONT AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10465-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295916336 | Kathryn A Scocozza | Pharmacist | 3590 E Tremont Ave, Bronx, NY 10465-2005 | 2007-11-16 |
| 1376042564 | Danny Jose | Pharmacist | 3590 E Tremont Ave, Bronx, NY 10465-2005 | 2018-02-02 |
| 1780194456 | Vivian Chandra | Pharmacist | 3590 E Tremont Ave, Bronx, NY 10465-2005 | 2017-10-06 |
| 1942650072 | Jennifer Chon | Pharmacist | 3590 E Tremont Ave, Bronx, NY 10465-2005 | 2016-06-20 |
| 1417333600 | Nurit Abdurahmanov | Pharmacist | 3590 E Tremont Ave, Bronx, NY 10465-2005 | 2015-08-11 |
| 1053797100 | Frances Trosa | Pharmacist | 3590 E Tremont Ave, Bronx, NY 10465-2005 | 2015-07-30 |
| 1861704678 | Richard Wong | Pharmacist | 3590 E Tremont Ave, Bronx, NY 10465-2005 | 2010-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639648272 | Kenya Walters | Registered Nurse | 2761 Sampson Ave #2b, Bronx, NY 10465 | 2018-11-13 |
| 1619487873 | Samantha Salaman | Registered Nurse | 233 Graff Ave, Bronx, NY 10465 | 2017-10-02 |
| 1689199424 | Hermany Limo Transportation LLC | Non-emergency Medical Transport (VAN) | 3432-b2 East Tremont Ave, Bronx, NY 10465 | 2017-08-12 |
| 1588199046 | Yvanesa Garcia | Assistant Behavior Analyst | 351 Huntington Avenue, Bronx, NY 10465 | 2017-04-21 |
| 1104274653 | Vanessa Morales | Occupational Therapy Assistant | 3155 Miles Avenue, 1st Floor, Bronx, NY 10465 | 2016-05-25 |
| 1083060065 | Natasha Sustache | Registered Nurse | 3156a Miles Ave, Bronx, NY 10465 | 2016-05-10 |
| 1275905994 | Reagan Obiozor Anusionwu Np Psychiatry Pllc | Nurse Practitioner | 548 Throgs Neck Expwy, Bronx, NY 10465 | 2015-10-21 |
| 1386014363 | Ann Marie Gilligan | Speech-Language Pathologist | 3942 E.tremont Ave, Bronx, NY 10465 | 2015-10-02 |
| 1689075301 | Sean Kearns | Dentist | 3651 E Tremont Ave, Bronx, NY 10465 | 2014-09-12 |
| 1578975827 | Core Essentials Medical P.C. | General Practice | 3630 East Tremont Ave, Bronx, NY 10465 | 2014-05-21 |
| Find all providers in zip 10465 | ||||
| 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 |
|---|---|---|---|---|
| 1972134930 | Fill Rx Ny Inc | Pharmacy | 5906a Riverdale Ave, Bronx, NY 10471-1603 | 2020-01-29 |
| 1154965317 | Livewell Pharmacy Inc | Pharmacy | 1432 E Gun Hill Rd, Bronx, NY 10469-3061 | 2019-10-31 |
| 1518510734 | Madina Drugs Corp | Pharmacy | 1225 Fulton Ave, Bronx, NY 10456-3401 | 2019-07-17 |
| 1740746619 | Brookcare Rx | Pharmacy | 352 Brook Ave, Bronx, NY 10454-2164 | 2019-02-15 |
| 1184197030 | Megacare Pharmacy Inc | Pharmacy | 315 E Kingsbridge Rd, Bronx, NY 10458-4443 | 2019-01-03 |
| 1871072579 | Jrj Raisell Pharmacy Drug Corp | Pharmacy | 741 Astor Ave, Bronx, NY 10467-9307 | 2018-08-13 |
| 1023501061 | Anchor Health Group Corp | Pharmacy | 1926 Crotona Pkwy, Bronx, NY 10460-1845 | 2018-06-13 |
| 1205328671 | Riverside Rx Inc | Pharmacy | 5906b Riverdale Ave, Bronx, NY 10471-1603 | 2018-06-01 |
| 1942792437 | Mejor Pharmacy Corp. | Pharmacy | 1009 E 163rd St, Bronx, NY 10459-4308 | 2018-05-31 |
| 1366959074 | Rx Solutions Pharmacy Inc | Pharmacy | 2 E 167th St Frnt A, Bronx, NY 10452-8225 | 2018-01-03 |
| Find all providers in BRONX | ||||
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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.