Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHRE009125 Issued in GA

Legal business name

WALGREEN CO

Practice address

3505 Centerville Hwy
Snellville, GA 30039-6405

Phone

(770) 736-2157

Fax

(770) 736-9340

NPI assigned

Feb 26, 2007

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

Name

Kira L Taylor

Title

Manager

Phone

(217) 709-2351

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

• 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
• Walgreen Co

  • Pharmacy
  • Phoenix, AZ
  • NPI 1356356695

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Rio Rancho, NM
  • NPI 1528073426

  Member Of

  NPD member

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

• Tina Wei Chiang, PHARM.D,

  • Pharmacist
  • Snellville, GA
  • NPI 1851699094
  NPD
• Kerop B Gourdikian

  • Pharmacist
  • Snellville, GA
  • NPI 1699175562
  NPD
• Phuong Hong Nguyen

  • Pharmacist
  • Snellville, GA
  • NPI 1922610997
  NPD
• Azeezat Bodunrin Shonibare

  • Pharmacist
  • Snellville, GA
  • NPI 1144832155
  NPD
• Andre Wiltshire, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Snellville, GA
  • NPI 1154901585
  NPD
• Phebah Fiji, RPH

  • Pharmacist
  • Snellville, GA
  • NPI 1306126842
  NPD (past)
• Adrienne Fitzpatrick, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Alpharetta, GA
  • NPI 1326329715
  NPD (past)
• Firee A Jawhar, PHD

  • Pharmacist
  • Snellville, GA
  • NPI 1972886414
  NPD (past)
• Craig N. Navarro, PHARMD

  • Pharmacist
  • Clarkesville, GA
  • NPI 1831472406
  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, GA3 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

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
  • Jasper, GA
  • NPI 1477623692
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Lawrenceville, GA
  • NPI 1477847275
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Sandy Springs, GA
  • NPI 1487211934
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Lithonia, GA
  • NPI 1487669685
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Fayetteville, GA
  • NPI 1487669818
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Villa Rica, GA
  • NPI 1487826228
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Dublin, GA
  • NPI 1497279988
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Holly Springs, GA
  • NPI 1497760508
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Decatur, GA
  • NPI 1497760607
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Warner Robins, GA
  • NPI 1508053018
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Sylvania, GA
  • NPI 1508380148
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Woodstock, GA
  • NPI 1508389370
  NPD tax ID

• WALGREENS #10248 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2023.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1508992298",
    "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": "3505 CENTERVILLE HWY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396405",
            "telephone_number": "770-736-2157",
            "fax_number": "770-736-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "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": "GA",
            "license": "PHRE009125",
            "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": "000893901Y",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1155200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS #10248",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS #10248",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores East, LP.
• Deyanna Walcott, RBT
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreens
• Diondra Walker
• Gary Leonard Walker, M.D.
• Justice Walker, RBT

• All providers in Snellville, GA
• Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.