Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

7741 Issued in WI

Legal business name

WALGREEN CO

Practice address

6210 W Loomis Rd
Greendale, WI 53129-2448

Phone

(414) 423-1485

NPI assigned

Jul 29, 2006

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Virginia Garza

Title

Manager

Phone

(217) 709-2364

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• WALGREENS #04556 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX, WI3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Walgreen Co8,684 organizations share this tax ID, including this one

Part of

Walgreens Holding Company

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Walgreen Co

  • Pharmacy
  • Appleton, WI
  • NPI 1043225196
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Weston, WI
  • NPI 1043267933
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Chilton, WI
  • NPI 1043548977
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Oak Creek, WI
  • NPI 1053326108
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Sussex, WI
  • NPI 1053326132
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Saukville, WI
  • NPI 1063427144
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • River Falls, WI
  • NPI 1063537876
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Stevens Point, WI
  • NPI 1063602852
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Sturgeon Bay, WI
  • NPI 1073528147
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Milwaukee, WI
  • NPI 1083621965
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Menomonee Falls, WI
  • NPI 1083629158
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Prairie Du Chien, WI
  • NPI 1083796429
  NPD tax ID

Member of 16

Organizations this organization is a member of, according to the National Provider Directory.

• Option Care Home Care, Inc.

  • Home Infusion Agency
  • Wauwatosa, WI
  • NPI 1396343471

  Member Of

  NPD member
• Cypress Home Medical Inc

  • Home Infusion Therapy Pharmacy
  • Fort Myers, FL
  • NPI 1437188315

  Member Of

  NPD member
• Healthcare Options of Minnesota, Inc.

  • Home Infusion Therapy Pharmacy
  • Sauk Rapids, MN
  • NPI 1891746111

  Member Of

  NPD member
• I.V. Associates, Inc.

  • Home Infusion Therapy Pharmacy
  • Eatontown, NJ
  • NPI 1811940810

  Member Of

  NPD member
• Mednow Infusion, LLC

  • Home Infusion Agency
  • Meridian, ID
  • NPI 1225645526

  Member Of

  NPD member
• Option Care at Legacy Health LLC

  • Home Infusion Therapy Pharmacy
  • Bend, OR
  • NPI 1174875017

  Member Of

  NPD member
• Option Care Enterprises, Inc.

  • Home Infusion Therapy Pharmacy
  • Chantilly, VA
  • NPI 1679896989

  Member Of

  NPD member
• Option Care Infusion Services, LLC

  • Home Infusion Therapy Pharmacy
  • Nashville, TN
  • NPI 1326279746

  Member Of

  NPD member
• TSL Inc

  • Home Infusion Therapy Pharmacy
  • Merrillville, IN
  • NPI 1942269956

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Wilmington, DE
  • NPI 1093738643

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Phoenix, AZ
  • NPI 1356356695

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Rio Rancho, NM
  • NPI 1528073426

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 77

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Gradinjan

  • Pharmacist
  • Greendale, WI
  • NPI 1376177279
  NPD
• Gregory Sylvester Kuzniewski, RPH

  • Pharmacist
  • Greendale, WI
  • NPI 1942577630
  NPD (past)
• Theresa Scott, PHARM.D

  • Pharmacist
  • Milwaukee, WI
  • NPI 1942579255
  NPD (past)
• Aditi Shah, PHARMD

  • Pharmacist
  • Greendale, WI
  • NPI 1295002954
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1093720153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST # MS 790",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "217-709-2364",
            "fax_number": "217-709-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 W LOOMIS RD",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531292448",
            "telephone_number": "414-423-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2006-07-29",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-709-2364"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "7741",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5124069",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33228400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS #04556",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS #04556",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Visionworks, Inc.
• Visiting Medical Associates
• James P Wagner, OD
• Wal-Mart Stores East LP
• Samantha Jean Walczak, CFY-SLP
• Mary Louise Wierzbicki, OTR
• Brian J. Wimmer, LCSW
• Megan Rose Wirth
• Karen Lynn Wisniewski, RN
• Stacey Wodehouse, MS, CCC-SLP

• All providers in Greendale, WI
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.