Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

28RS00517900 Issued in NJ

Legal business name

WALGREEN CO

Practice address

4125 S Broad St
Trenton, NJ 08620-2001

Phone

(609) 585-6500

Fax

(609) 581-8395

NPI assigned

Jul 31, 2017

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

Name

Kira Taylor

Title

Manager

Phone

(217) 709-2351

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

• I.V. Associates, Inc.

  • Home Infusion Therapy Pharmacy
  • Eatontown, NJ
  • NPI 1811940810
  NPD member Member Of
• Cypress Home Medical Inc

  • Home Infusion Therapy Pharmacy
  • Fort Myers, FL
  • NPI 1437188315
  NPD member Member Of
• Healthcare Options of Minnesota, Inc.

  • Home Infusion Therapy Pharmacy
  • Sauk Rapids, MN
  • NPI 1891746111
  NPD member Member Of
• Mednow Infusion, LLC

  • Home Infusion Agency
  • Meridian, ID
  • NPI 1225645526
  NPD member Member Of
• Option Care at Legacy Health LLC

  • Home Infusion Therapy Pharmacy
  • Bend, OR
  • NPI 1174875017
  NPD member Member Of
• Option Care Enterprises, Inc.

  • Home Infusion Therapy Pharmacy
  • Chantilly, VA
  • NPI 1679896989
  NPD member Member Of
• Option Care Home Care, Inc.

  • Home Infusion Agency
  • Wauwatosa, WI
  • NPI 1396343471
  NPD member Member Of
• Option Care Infusion Services, LLC

  • Home Infusion Therapy Pharmacy
  • Nashville, TN
  • NPI 1326279746
  NPD member Member Of
• TSL Inc

  • Home Infusion Therapy Pharmacy
  • Merrillville, IN
  • NPI 1942269956
  NPD member Member Of
• Walgreen Co

  • Pharmacy
  • Wilmington, DE
  • NPI 1093738643
  NPD member Member Of
• Walgreen Co

  • Pharmacy
  • Phoenix, AZ
  • NPI 1356356695
  NPD member Member Of
• Walgreen Co

  • Pharmacy
  • Rio Rancho, NM
  • NPI 1528073426
  NPD member Member Of
• Walgreen Co

  • Pharmacy
  • South Chicago Heights, IL
  • NPI 1538175096
  NPD member Member Of
• Walgreen Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Mokena, IL
  • NPI 1215195730
  NPD member Member Of
• Walgreens Mail Service LLC

  • Mail Order Pharmacy
  • Tempe, AZ
  • NPI 1164437406
  NPD member Member Of
• Walgreens Specialty Pharmacy LLC

  • Pharmacy
  • Frisco, TX
  • NPI 1851463087
  NPD member Member Of

Medicare fee-for-service enrollment

Enrolled in TX, NJ2 enrollments

Part of

Walgreens Holding Company

• Walgreens #17851 Doing business as

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1295259455",
    "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": "4125 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086202001",
            "telephone_number": "609-585-6500",
            "fax_number": "609-581-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2017-07-31",
        "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": "NJ",
            "license": "28RS00517900",
            "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": "0612081",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3153599",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens #17851",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikita Waiba
• Jeanne M Waldman, R.N. C.N.M.
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• All providers in Trenton, NJ
• Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.