WALGREEN CO (NPI# 1992753362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992753362 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Other Organization Name | WALGREENS #09806 |
| Practice Address |
2020 Broadway Ave Yankton SD 57078-2115 |
| Mailing Address |
1901 E Voorhees St M/s 790 Danville IL 61834-4509 |
| Practice Telephone | 6056651124 |
| Practice Fax Number | 6056651261 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-04-25 |
| 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 | 1001898 | SD | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0722322 | 05 | |
| SD | 8504340 | 05 | |
| NE | 10025381200 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4353897 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #09806 | 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 |
2020 BROADWAY AVE |
| City | YANKTON |
| State | SD |
| Zip Code | 57078-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750797130 | Laura Johnson | Pharmacist | 2020 Broadway Ave, Yankton, SD 57078-2115 | 2014-07-07 |
| 1487082905 | Krista Kutil | Pharmacist | 2020 Broadway Ave, Yankton, SD 57078-2115 | 2013-10-18 |
| 1750651972 | Kara Kaiser | Pharmacist | 2020 Broadway Ave, Yankton, SD 57078-2115 | 2012-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719661 | Jime Lynne Rivera | Psychiatry & Neurology | 708 E 21st Street, Yankton, SD 57078 | 2020-11-01 |
| 1043617210 | Kenneth Tomek | Dietitian, Registered | 2100 Broadway St, Yankton, SD 57078 | 2014-12-03 |
| 1932530276 | Jacqueline Ann Kelley | Nurse Practitioner | 1105 West 8th Street, Mount Marty College, Yankton, SD 57078 | 2013-12-12 |
| 1124363130 | Susan Kay Taecker | Occupational Therapist | 1502 Jo Ln, Yankton, SD 57078 | 2012-12-02 |
| 1295865178 | Dr Jon C Baumann Dds PC | Dentist | 809 Belfast Street, Yankton, SD 57078 | 2007-03-07 |
| 1306989090 | Gregory Scott Erickson | Internal Medicine | 501 Summit, Yankton, SD 57078 | 2007-02-14 |
| 1104976356 | Pine Lane Estates LLC | Assisted Living Facility | 2905 Douglas Ave, Yankton, SD 57078 | 2007-01-11 |
| 1518029917 | Teresa M Henrickson | Counselor | 904 W 23rd St Ste 101, Heartland Psychological Services, Yankton, SD 57078 | 2006-12-14 |
| 1396805016 | Joseph G Blackinton | Psychologist | Heartland Psychological Services, 904 W 23rd St Ste 101, Yankton, SD 57078 | 2006-12-11 |
| 1942383468 | Deborah Jean Kachena | Social Worker | 610 W 23rd Street, Yankton, SD 57078 | 2006-10-21 |
| Find all providers in zip 57078 | ||||
| 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 |
|---|---|---|---|---|
| 1053344762 | Renner Corporation | Pharmacy | 218 W 4th St, Yankton, SD 57078-4301 | 2006-07-08 |
| 1811003866 | Yankton Medical Clinic PC | Pharmacy | 1104 W 8th St, Yankton, SD 57078-3306 | 2006-08-22 |
| 1760409932 | Walmart Inc. | Pharmacy | 3001 Broadway Ave, Yankton, SD 57078-4890 | 2006-07-16 |
| 1518998517 | K Mart Corp | Pharmacy | 2210 Broadway Ave, Yankton, SD 57078-1706 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013525864 | Spring Meds Inc | Pharmacy | 2810 W 3rd St Ste 3, Sioux Falls, SD 57104-2598 | 2020-07-17 |
| 1932761335 | Great Plains Tribal Chairmen's Health Board | Pharmacy | Oyate Health Center, 3200 Canyon Lake Drive, Rapid City, SD 57702 | 2019-07-05 |
| 1205311628 | Avera Mckennan | Pharmacy | 6100 S Louise Ave Ste 1100, Sioux Falls, SD 57108-6021 | 2018-10-02 |
| 1932642428 | Brothers Pharmacies Inc | Pharmacy | 202 Island Dr Ste 2, Fort Pierre, SD 57532-7303 | 2016-12-01 |
| 1750824462 | Rambo Ltc Inc | Pharmacy | 1004 6th St Ste B, Brookings, SD 57006-2205 | 2016-11-29 |
| 1811357239 | Community Pharmacies Inc | Pharmacy | 120 Commercial Street Se, Highmore, SD 57345 | 2016-02-26 |
| 1811263106 | Lewis Family Drug LLC | Pharmacy | 1305 W Havens Ave, Mitchell, SD 57301-4116 | 2012-03-30 |
| 1962787440 | Avera Mckennan | Pharmacy | 4400 W 69th St Ste 300, Sioux Falls, SD 57108-8170 | 2011-10-17 |
| 1952629032 | Turner Drug Inc | Pharmacy | 3033 Main Street, Bowdle, SD 57428 | 2010-05-13 |
| 1033437223 | Wullstein Pharmacy Inc. | Pharmacy | 116 E Holly Blvd, Brandon, SD 57005-1114 | 2010-05-12 |
| Find all providers with the same taxonomy | ||||
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.