Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

54014957 Issued in IL

Legal business name

WALGREEN CO

Practice address

1918 W Fabyan Pkwy
Batavia, IL 60510-1215

Phone

(630) 482-2485

Fax

(630) 482-2531

NPI assigned

Aug 2, 2006

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

Name

Kira L Taylor

Title

Manager

Phone

(217) 709-2351

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Walgreens Boots Alliance

  • Community/Retail Pharmacy
  • Wauconda, IL
  • NPI 1831978451
  NPPES parent name

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

• Dan Duggan, RPH

  • Pharmacist
  • Batavia, IL
  • NPI 1023385143
  NPD (past)
• Amanda Lee Farmer

  • Pharmacy Technician
  • Batavia, IL
  • NPI 1215528187
  NPD (past)
• Quentin Rice, LMT, PHTC

  • Pharmacy Technician
  • Batavia, IL
  • NPI 1194269951
  NPD (past)
• Bradley Thomas, PHARMD

  • Pharmacist
  • Batavia, IL
  • NPI 1760763882
  NPD (past)

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in TX, IL3 enrollments

Enrollment records 3

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

Tax ID family

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

Part of

Walgreens Holding Company

Member of 16

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

• Walgreen Co

  • Pharmacy
  • South Chicago Heights, IL
  • NPI 1538175096

  Member Of

  NPD member
• Walgreen Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Mokena, IL
  • NPI 1215195730

  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 Home Care, Inc.

  • Home Infusion Agency
  • Wauwatosa, WI
  • NPI 1396343471

  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

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
  • Chicago, IL
  • NPI 1073982161
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Buffalo Grove, IL
  • NPI 1083083174
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Lake Zurich, IL
  • NPI 1083620587
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Belvidere, IL
  • NPI 1083629216
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Schiller Park, IL
  • NPI 1083629265
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Berwyn, IL
  • NPI 1083629307
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Broadview, IL
  • NPI 1093720203
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Glenview, IL
  • NPI 1093720286
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Algonquin, IL
  • NPI 1104831213
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Chicago, IL
  • NPI 1104831403
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Libertyville, IL
  • NPI 1104832591
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Jerseyville, IL
  • NPI 1104847375
  NPD tax ID

Locations

• WALGREENS #04561 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2022.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1104833185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 790",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "217-709-2351",
            "fax_number": "217-709-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 W FABYAN PKWY",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101215",
            "telephone_number": "630-482-2485",
            "fax_number": "630-482-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KIRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-709-2351"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "54014957",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362127039561",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1476123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS #04561",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS #04561",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L Vilt, SPEECH THERAPIST
• Visionworks, Inc
• Kelli L Wade, MA
• Charles Edward Wakeland, D.C.
• Wal-Mart Stores, Inc
• Walgreen Co
• Samantha Diane Walls
• Walmart Inc.
• Annalise Warren, LSW
• Hailey Helen Watkins

• All providers in Batavia, IL
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.