WALGREEN CO (NPI# 1972026979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972026979 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | RITE AID |
| Practice Address |
1073 Highway 51 Madison MS 39110-9085 |
| Mailing Address |
1901 E Voorhees St # Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2018-06-15 |
| 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 | Suppliers |
| Other Name | Type Code |
|---|---|
| RITE AID | 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 |
1073 HIGHWAY 51 |
| City | MADISON |
| State | MS |
| Zip Code | 39110-9085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679871800 | Carol Stephens | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2011-03-12 |
| 1811348394 | Emily Melissa Draper | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2016-06-27 |
| 1306208137 | Joy Averett | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2016-03-22 |
| 1225407307 | Sandra Kwarteng | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2015-09-18 |
| 1174936710 | Elizabeth Bennett Taylor | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2014-06-10 |
| 1033465935 | Julie Clark | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2012-07-28 |
| 1851680409 | Erin Leigh Martinez | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2011-04-05 |
| 1740589266 | Charna Schlakman | Pharmacist | 1073 Highway 51, Madison, MS 39110-9085 | 2011-03-23 |
| 1831208222 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 1073 Highway 51, Madison, MS 39110-9085 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| 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 |
|---|---|---|---|---|
| 1013368216 | Kroger Limited Partnership I | Pharmacy | 4579 Wall Triana Hwy, Madison, AL 35758-9305 | 2016-06-29 |
| 1740636786 | Mississippi Center for Advanced Medicine PC | Pharmacy | 7731 Old Canton Rd Ste B, Madison, MS 39110-6115 | 2016-05-09 |
| 1588077325 | Madison Pharmacy Inc. | Pharmacy | 8498 Madison Blvd Ste A, Madison, AL 35758-2049 | 2014-06-10 |
| 1831419688 | Gluckstadt Special Care Pharmacy & Compounding | Pharmacy | 1716 Highway 51, Suite N, Madison, MS 39110-5020 | 2010-06-03 |
| 1013169598 | Willow Pharmacy Inc | Pharmacy | 2445 Darwin Rd, Suite 102, Madison, WI 53704-3116 | 2008-10-16 |
| 1790821312 | Skj Inc | Pharmacy | 217 Cottage Grove Rd, Madison, WI 53716-1105 | 2007-01-30 |
| 1114075777 | Roundys Supermarkets Inc | Pharmacy | 2502 Shopko Dr, Madison, WI 53704-4119 | 2007-01-08 |
| 1134205008 | Moore Health Inc. | Pharmacy | 1400 Eatonton Rd, Suite 600, Madison, GA 30650-4642 | 2006-10-31 |
| 1265521884 | Lewis Drugs Inc | Pharmacy | 741 S Washington Ave, Madison, SD 57042-3409 | 2006-10-12 |
| 1780772236 | University of Wisconsin Hospitals & Clinics Authority | Pharmacy | 702 N Midvale Blvd, Suite 168, Madison, WI 53705-3261 | 2006-10-10 |
| Find all providers in MADISON | ||||
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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.