WALGREEN CO (NPI# 1972518256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972518256 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #02426 |
| Practice Address |
15500 Washington Ave San Leandro CA 94579-1839 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 5104833917 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-09-24 |
| 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 | PHY39367 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0540523 | 01 | |
| CA | 1972518256 | 05 | |
| AZ | 563570 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02426 | 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 |
15500 WASHINGTON AVE |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94579-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952800633 | Amanda Chan | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2018-02-07 |
| 1881144475 | Christopher Ren Zhu | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2016-10-07 |
| 1861866212 | Mina Um | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2015-11-23 |
| 1508259680 | Paula Ibkhiroun | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2015-03-12 |
| 1558646794 | Jim Wang | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-10-19 |
| 1669757183 | Emmanuel Kofi Bossman | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-10-16 |
| 1386928463 | Hoa Tran | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-10-06 |
| 1518249275 | Chandrika B Patel | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-09-19 |
| 1275814824 | Sara Lam | Pharmacist | 15500 Washington Ave, San Leandro, CA 94579-1839 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326546227 | Thai-son Hoang Nguyen | Pharmacist | 15500 Washingston Ave, San Leandro, CA 94579 | 2018-01-25 |
| 1174079370 | Ngan Kim Tran | Dentist | 1513 Hickory Ave, San Leandro, CA 94579 | 2016-08-28 |
| 1801223581 | Sara Litpon-carey | Social Worker | 16335 East 14th Street, 2nd Floor, San Leandro, CA 94579 | 2013-09-26 |
| 1336143189 | Loreto R Sicam Jr. | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2005-06-09 |
| 1831309491 | Alice Tangi Blancaflor | Dentist | 699 Lewelling Blvd, Ste 300, San Leandro, CA 94579 | 2007-05-23 |
| 1497224885 | Sonia Zuniga Morales | Behavior Technician | 14389 Elm St, San Leandro, CA 94579-1028 | 2018-11-15 |
| 1770992380 | Stars, Inc. | Community/Behavioral Health | 14790 Corvallis Street, Counseling Office, San Leandro, CA 94579-1174 | 2014-08-07 |
| 1497222707 | Stephanie Clare Bowar | Behavior Technician | 14690 Wiley St, San Leandro, CA 94579-1213 | 2018-10-25 |
| 1427231349 | San Leandro Unified School District | Local Education Agency (LEA) | 14735 Juniper St, San Leandro, CA 94579-1222 | 2007-12-13 |
| 1639657752 | Erika Apel | Counselor | 1324 Avon Ave, San Leandro, CA 94579-1340 | 2018-07-31 |
| Find all providers in zip 94579 | ||||
| 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 |
|---|---|---|---|---|
| 1134583735 | Rockforth Pharmacy | Pharmacy | 14624 E 14th St, San Leandro, CA 94578-2817 | 2016-04-09 |
| 1649657172 | Alameda Pharmacy LLC | Pharmacy | 1555 Doolittle Dr Ste 160, San Leandro, CA 94577-2272 | 2015-05-05 |
| 1417192634 | Walmart Inc. | Pharmacy | 15555 Hesperian Blvd, San Leandro, CA 94579-1801 | 2008-12-03 |
| 1770629388 | Oriental Twin Dragons Ltd | Pharmacy | 215 Estudillo Ave, San Leandro, CA 94577-4721 | 2007-01-30 |
| 1174566343 | Longs Drug Stores California LLC | Pharmacy | 1550 E 14th St, San Leandro, CA 94577-4807 | 2006-06-14 |
| 1578500237 | Lucky Stores II LLC | Pharmacy | 1300 Fairmont Dr, San Leandro, CA 94578-3507 | 2006-06-01 |
| 1609289024 | Kaiser Foundation Health Plan Inc | Pharmacy | 2500 Merced St, 2nd Fl Rm 2966, San Leandro, CA 94577-4201 | 2014-06-03 |
| 1679993190 | Kaiser Foundation Hospitals | Pharmacy | 2500 Merced St, Hospital Bldg, San Leandro, CA 94577-4201 | 2014-04-23 |
| 1669895942 | Kaiser Foundation Health Plan Inc | Pharmacy | 2500 Merced St Fl 1, San Leandro, CA 94577-4201 | 2014-01-22 |
| 1346383056 | Medical Rx Inc | Pharmacy | 13847 E 14th St, Suite 103, San Leandro, CA 94578-2632 | 2007-02-14 |
| Find all providers in SAN LEANDRO | ||||
| City | SAN LEANDRO |
| Zip Code | 94579 |
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.