Walgreen Co

Primary specialty

PharmacyTaxonomy code 333600000X

License

249 Issued in IA

Legal business name

WALGREEN CO

Practice address

1999 Grand Ave
West Des Moines, IA 50265-4223

Phone

(515) 222-1546

NPI assigned

Jul 29, 2006

Organization subpart

Yes

Parent organization

WALGREENS BOOTS ALLIANCE INCAs reported in NPPES

Name

Kira L Taylor

Title

Manager

Phone

(217) 709-2351

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

• Sandra Bruinekool, RPH

  • Pharmacist
  • West Des Moines, IA
  • NPI 1881976470
  NPD (past)
• Jill Marie Grodahl, PHARM.D

  • Pharmacist
  • West Des Moines, IA
  • NPI 1265715106
  NPD (past)
• Michele Harms, RPH

  • Pharmacist
  • West Des Moines, IA
  • NPI 1295017515
  NPD (past)
• Sanam Jassim Hussien

  • Pharmacist
  • West Des Moines, IA
  • NPI 1528934114
  NPD (past)
• Jennifer Johnson

  • Pharmacist
  • Johnston, IA
  • NPI 1013392877
  NPD (past)
• Nathan Koch

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • West Des Moines, IA
  • NPI 1225670383
  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, IA2 enrollments

Enrollment records 2

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.

• 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

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
  • Cedar Falls, IA
  • NPI 1326190927
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Cedar Rapids, IA
  • NPI 1336154657
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Davenport, IA
  • NPI 1356356661
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Fort Dodge, IA
  • NPI 1366457673
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Bettendorf, IA
  • NPI 1376558684
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Coralville, IA
  • NPI 1417962739
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Clive, IA
  • NPI 1427063742
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Boone, IA
  • NPI 1427241579
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Ames, IA
  • NPI 1437164746
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Davenport, IA
  • NPI 1447265756
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Keokuk, IA
  • NPI 1508871823
  NPD tax ID
• Walgreen Co

  • Pharmacy
  • Marion, IA
  • NPI 1518972827
  NPD tax ID

Locations

• WALGREENS #06678 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2022.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1528073830",
    "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": "1999 GRAND AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654223",
            "telephone_number": "515-222-1546"
        }
    ],
    "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": "2022-05-10",
        "certification_date": "2022-05-10",
        "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": "IA",
            "license": "249",
            "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": "1616575",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0027243",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS #06678",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS #06678",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooklynn Wagoner
• Wal-Mart Stores, Inc.
• Bianca B Waldschmidt, PA-C
• Walgreen Co
• Walgreen Co
• Gregory Dominick Walker, PHARMD
• Karissa Walker, ARNP
• Tyannah Walker
• Nicole R Waller
• Amy L Wallin, MD

• All providers in West Des Moines, IA
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.