NPIMap

Walgreen Co

Organization Active NPI Pharmacy · Springfield, MA

NPI 1295250413 · NPPES record last updated May 16, 2022

Key facts

NPI
1295250413
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
DS90230 (MA)
Legal business name
WALGREEN CO
Practice address
381 Cooley St
Springfield, MA 01128-1113
Phone
(413) 783-4451
Fax
(413) 782-9238
NPI assigned
Aug 9, 2017
Organization subpart
Yes
Parent organization (as reported)
WALGREENS BOOTS ALLIANCE INC

Authorized official

Name
Kira Taylor
Title
Manager
Phone
(217) 709-2351

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Member of 16

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

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Walgreen Co
381 Cooley St, Springfield, MA 01128-1113 · (413) 783-4451		 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignment
Participating since Mar 1, 2022

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX, MA

All facility ownership & control disclosures 77

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

FacilityTypeRoleSince
At Home Care
Mechanicsville, VA · CCN 497493		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Adoration Home Health and Hospice Care East Tennessee
Cleveland, TN · CCN 447279		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) May 17, 2019
Adoration Home Health
Williamsburg, VA · CCN 497600		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Adoration Home Health
Mobile, AL · CCN 017066		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Adoration Home Health Care Mississippi
Cleveland, MS · CCN 257305		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) May 17, 2019
Adoration Home Health
San Antonio, TX · CCN 677271		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Option Care
Itasca, IL · CCN 147536		 Home health agency 5% Or Greater Direct Ownership Interest (49%) Mar 31, 2015
Adoration Home Health
Lakewood, CO · CCN 067529		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Adoration Home Health
Pueblo, CO · CCN 067528		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Adoration Home Health LLC
Madison, TN · CCN 447581		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Mar 5, 2019
Adoration Home Health
Carmel, IN · CCN 157691		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
@Heart Homecare
Virginia Beach, VA · CCN 497744		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Aug 1, 2022
Adoration Home Health
Grand Junction, CO · CCN 067573		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Adoration Home Health Nashville South
Brentwood, TN · CCN 447425		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Jan 1, 2021
Adoration Home Health Martin
Martin, TN · CCN 447225		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Jan 13, 2025
Adoration Home Health McMinnville
McMinnville, TN · CCN 447316		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Jan 1, 2021
Adoration Home Health
Kingsport, TN · CCN 447183		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Mar 1, 2020
Adoration Home Health
High Point, NC · CCN 347125		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Mar 1, 2020
Adoration Home Health
Elizabethtown, NC · CCN 347097		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Mar 1, 2020
Adoration Home Health
Mebane, NC · CCN 347122		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Mar 1, 2020
Adoration Home Health
Rock Hill, SC · CCN 427141		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Mar 1, 2020
Adoration Home Health
Albemarle, NC · CCN 347071		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Jan 1, 2021
Adoration Home Health and Hospice
Nags Head, NC · CCN 347074		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Dec 30, 2024
Adoration Home Health Baltimore
Baltimore, MD · CCN 217134		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Jan 9, 2025
Adoration Home Health
Annandale, VA · CCN 497638		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Aug 20, 2023
Adoration Home Health Marlboro
Upper Marlboro, MD · CCN 217047		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Aug 20, 2023
Adoration Home Health
Lemoyne, PA · CCN 398372		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Mar 1, 2023
Adoration Home Health
Pensacola, FL · CCN 687355		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Feb 17, 2023
Adoration Home Health
Plymouth, NC · CCN 347008		 Home health agency 5% Or Greater Indirect Ownership Interest (29%) Sep 1, 2024
Adoration Home Health Care Rhode Island
Providence, RI · CCN 417045		 Home health agency 5% Or Greater Indirect Ownership Interest (20%) Sep 1, 2025
Hospice of North Alabama, LLC
Huntsville, AL · CCN 011622		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Hospice Home Care of Pine Bluff, LLC
White Hall, AR · CCN 041519		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Nov 1, 2021
Adoration Home Health and Hospice Care Mississippi
Yazoo City, MS · CCN 251602		 Hospice 5% Or Greater Indirect Ownership Interest (29%) May 17, 2019
Hospice Home Care of Monticello
Monticello, AR · CCN 041523		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 1, 2021
Springhill Home Health & Hospice
Mobile, AL · CCN 011642		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Compassioncare Hospice
Las Vegas, NV · CCN 291516		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Grane Hospice Care
Pittsburgh, PA · CCN 391674		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Oasis Healthcare, Inc.
Birmingham, AL · CCN 011660		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Grane Hospice Care
Altoona, PA · CCN 391693		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Allay Home & Hospice
Brookfield, WI · CCN 521583		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Sep 2, 2021
Hospice Home Care, LLC
Little Rock, AR · CCN 041524		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 1, 2021
Adoration Hospice Care Mississippi
Cleveland, MS · CCN 251603		 Hospice 5% Or Greater Indirect Ownership Interest (29%) May 17, 2019
Adoration Home Health and Hospice Care East Tennessee
Cleveland, TN · CCN 441557		 Hospice 5% Or Greater Indirect Ownership Interest (29%) May 17, 2019
Apreva Hospice
San Diego, CA · CCN 551557		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Jan 30, 2024
Ohio Valley Hospice
Beavercreek, OH · CCN 361647		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Spring Valley Hospice, LLC
Olive Branch, MS · CCN 251658		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 1, 2021
Adoration Hospice
Carmel, IN · CCN 151599		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Grane Hospice Care
Camp Hill, PA · CCN 391732		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Athc - Hospice, LLC
Mechanicsville, VA · CCN 491606		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
All Saints Hospice
Mansura, LA · CCN 191677		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Nov 1, 2021
Sacred Journey Hospice, LLC
McDonough, GA · CCN 111599		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Dec 9, 2020
Embrace Hospice
Austin, TX · CCN 451605		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Grane Hospice Care
King of Prussia, PA · CCN 391765		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Abode Hospice of Colorado
Lakewood, CO · CCN 061588		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Abode Hospice of Colorado
Colorado Springs, CO · CCN 061590		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Hospice of the Midwest LLC
Johnston, IA · CCN 161609		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Adoration Hospice
Madison, TN · CCN 441592		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Mar 5, 2019
Athc - Hospice, LLC
Williamsburg, VA · CCN 491619		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Hospice of the Midwest
Woodbury, MN · CCN 241600		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Compassioncare Hospice Reno
Reno, NV · CCN 291550		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
@Heart Hospice
Virginia Beach, VA · CCN 491625		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Aug 1, 2022
Embrace Hospice
Temple, TX · CCN 671702		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Spring Valley Hospice of Tupelo
Tupelo, MS · CCN 251702		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Nov 1, 2021
Abode Hospice of Colorado
Grand Junction, CO · CCN 061605		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Embrace Hospice
San Antonio, TX · CCN 671676		 Hospice 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Sacred Journey Hospice, LLC
Lawrenceville, GA · CCN 851509		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Dec 9, 2020
Athc - Hospice, LLC
Colonial Heights, VA · CCN 491631		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Embrace Hospice
New Braunfels, TX · CCN 741721		 Hospice 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Athc - Hospice, LLC
Fredericksburg, VA · CCN 491636		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Apr 16, 2021
Abode Hospice of Colorado
Pueblo, CO · CCN 061616		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Generations Hospice
Fond Du Lac, WI · CCN 521590		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Sep 2, 2021
Adoration Hospice
Oxford, AL · CCN 011629		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Jun 1, 2021
Adoration Home Health and Hospice
Nags Head, NC · CCN 341584		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Sep 1, 2021
Sacred Journey Hospice, LLC
Dalton, GA · CCN 851562		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Dec 9, 2020
Hospice of the Midwest
Sioux City, IA · CCN 161617		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Apr 16, 2021
Adoration Hospice
Baltimore, MD · CCN 211545		 Hospice 5% Or Greater Indirect Ownership Interest (29%) Aug 20, 2023
Haven Hospice
Gainesville, FL · CCN 101515		 Hospice 5% Or Greater Indirect Ownership Interest (20%) Sep 1, 2024

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070917000779 TX Part B Supplier - Centralized Flu Biller 0941278253 This NPI is an additional NPI on the enrollment
O20180423002261 MA DME Supplier - Pharmacy 0941278253 Practice locations: Springfield, MA

National Provider Directory

Tax ID family
Walgreen Co (8,684 organizations share this tax ID)
Part of
Walgreens Holding Company

Locations

381 Cooley St
Springfield, MA 01128
Phone (413) 783-2431

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X DS90230 MA Yes
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

381 Cooley St
Springfield, MA 01128-1113

Mailing address

1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone (217) 709-2351

Other identifiers

IdentifierTypeStateIssuer
0407071MedicaidMA

Other names

  • Walgreens #17787 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 16, 2022.

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1295250413",
    "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": "381 COOLEY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011281113",
            "telephone_number": "413-783-4451",
            "fax_number": "413-782-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KIRA",
        "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": "MA",
            "license": "DS90230",
            "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": "0407071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens #17787",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

All providers in Springfield, MA · Pharmacy in Massachusetts

Sources for this page

Verify at the official NPI Registry.