Overview
Walgreen Co is a Pharmacy (organization) practicing in Los Angeles, California. The National Provider Identifier (NPI) is #1386968758, which was assigned on March 15, 2010, and the registration record was last updated on April 1, 2022. The practitioner's main practice location is at 617 W 7th St Ste 100, Los Angeles, CA 90017-3897; the contact telephone number is 2136942880, and the fax number is 2136942861. The primary taxonomy of Walgreen Co is Pharmacy (333600000X). The authorized official for Walgreen Co is Kira Taylor (Manager). Walgreen Co is licensed to practice in the state of California (#PHY50288).
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Provider Information
| NPI | 1386968758 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Provider Name | WALGREEN CO |
| Other Organization Name | WALGREENS # 12460 (Doing Business As Name) |
| Other Name | WALGREENS # 12460 |
| Practice Address | 617 W 7th St Ste 100 Los Angeles CA 90017-3897 |
| Practice Telephone | 2136942880 |
| Practice Fax Number | 2136942861 |
| Mailing Address | 1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Mailing Telephone | 2177092351 |
| Mailing Fax Number | 2177092344 |
| Certification Date | 2022-04-01 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2022-04-01 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | WALGREENS BOOTS ALLIANCE INC |
Authorized Official Information
| Official Name | KIRA TAYLOR |
| Official Title | MANAGER |
| Telephone | 2177092351 |
Taxonomy and Licenses
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ||||
| Y | 333600000X | Pharmacy | PHY50288 | CA | ||
| N | 3336C0003X | Pharmacy | Community/Retail Pharmacy |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 5637270 | CA | NCPDP | Other |
| 1386968758 | CA | MEDICAID |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| WALGREENS # 12460 | Doing Business As Name |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Walgreen Co · Walgreens #21404 | 51670 Huntington Rd, La Pine, OR 97739-9626 | Durable Medical Equipment & Medical Supplies | 2021-10-21 |
| Walgreen Co · Walgreens #21434 | 174 Ne Saint Charles Way, Prineville, OR 97754-2568 | Durable Medical Equipment & Medical Supplies | 2021-10-21 |
| Walgreen Co | 6140 Stoneridge Mall Rd, Pleasanton, CA 94588-3232 | Durable Medical Equipment & Medical Supplies | 2024-03-27 |
| Walgreen Co | 110 E 6th Ave, Junction City, OR 97448-1807 | Durable Medical Equipment & Medical Supplies | 2021-10-21 |
| Walgreen Co · Fieldale Family Pharmacy Gainesville | 584 Lanier Park Dr, Gainesville, GA 30501-2000 | Durable Medical Equipment & Medical Supplies | 2024-03-27 |
| Walgreen Co | 1700 Corporate Dr, Norcross, GA 30093-2815 | Durable Medical Equipment & Medical Supplies | 2024-03-27 |
| Walgreen Co | 3320 Crompond Rd, Yorktown, NY 10598 | Durable Medical Equipment & Medical Supplies | 2024-03-29 |
| Walgreen Co · Walgreens # 21377 | 1402 Central Ave Ne, East Grand Forks, MN 56721-1605 | Durable Medical Equipment & Medical Supplies | 2021-12-13 |
| Walgreen Co | 951 Mercer St, Seattle, WA 98109-4351 | Durable Medical Equipment & Medical Supplies | 2024-03-13 |
| Walgreen Co · Walgreens #21376 | 12 Old Waco Rd, Temple, TX 76502 | Durable Medical Equipment & Medical Supplies | 2022-07-12 |
| Find all providers with the same name | |||
Taxonomy Information
Primary Taxonomy
| Code | 333600000X |
| Taxonomy | Pharmacy |
| Classification | Pharmacy |
| Grouping | Suppliers |
| Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
Other Taxonomy
| Code | 332B00000X |
| Taxonomy | |
| Classification | Durable Medical Equipment & Medical Supplies |
| Grouping | Suppliers |
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Other Taxonomy
| Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| Grouping | Suppliers |
| Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
Providers with the same taxonomy
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Optimedicus LLC | 8609 Lyndale Ave S Ste 101k, Bloomington, MN 55420-2734 | Pharmacy | 2024-06-04 |
| Amanda Leigh Howard | 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | Pharmacy | 2024-06-04 |
| Valley Med Rx Inc | 16430 Vanowen St Unit 200, Van Nuys, CA 91406-4729 | Pharmacy | 2024-06-06 |
| Hempstead Avenue Drugs Inc | 490 Hempstead Ave, West Hempstead, NY 11552-2700 | Pharmacy | 2024-06-06 |
| Carpharma | 1000 Newbury Rd Ste 100, Newbury Park, CA 91320-6436 | Pharmacy | 2024-06-07 |
| St Lukes Magic Valley Regional Medical Center Ltd | 815 N College Rd Ste 150, Twin Falls, ID 83301-3484 | Pharmacy | 2024-06-03 |
| Queens Park Rd LLC | 10635 Park Rd Unit C, Charlotte, NC 28210-8408 | Pharmacy | 2024-06-04 |
| Grady Memorial Hospital Corporation | 2805 Metropolitan Pkwy Sw Rm B131, Atlanta, GA 30315-7915 | Pharmacy | 2024-06-05 |
| Tops Markets LLC | 425 Niagara St, Buffalo, NY 14201-1887 | Pharmacy | 2024-06-04 |
| Contra Costa County | 1000 Ward St, Martinez Detention Facility Pharmacy, Martinez, CA 94553-1360 | Pharmacy | 2024-06-07 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 617 W 7TH ST STE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-3897 |
| Country | US |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Cristina Gonzalez | 333 S Beaudry Ave Fl 29, Los Angeles, CA 90017 | Case Manager/Care Coordinator | 2017-01-03 |
| Marykarla Gallegos | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | Case Manager/Care Coordinator | 2017-10-25 |
| Nirlok Corporation | 750 West 7th Street, Los Angeles, CA 90017 | Optometrist | 2019-12-16 |
| Jessica R. Garcia-Hillard | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | Speech-Language Assistant | 2015-12-21 |
| Empowercare Solutions Inc | 770 S. Grand Avenue #2062, Los Angeles, CA 90017 | Mental Health Counselor | 2024-03-15 |
| Guadalupe Vallejo | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | Licensed Vocational Nurse | 2020-08-25 |
| Margaret Pang | 1245 Wilshire Blvd., Suite 703, Los Angeles, CA 90017 | Critical Care Medicine Registered Nurse | 2021-04-02 |
| Miguel Angel Ramirez-Luna | 1200 Wilshire Blvd., Suite 300, Los Angeles, CA 90017 | Clinical Social Worker | 2020-07-23 |
| Veronica Santana | 1725 W. Street, Los Angeles, CA 90017 | Dental Assistant | 2014-11-19 |
| Caremore Health Plan | 303 S. Union Avenue, Los Angeles, CA 90017 | Family Nurse Practitioner | 2015-11-05 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Walgreen Co. · Walgreens #09475 | 10624 Gibsonton Dr, Riverview, FL 33578-5430 | Durable Medical Equipment & Medical Supplies | 2006-07-29 |
| Walgreen Co. · Walgreens #11278 | 3301 Church St, Stevens Point, WI 54481-5314 | Durable Medical Equipment & Medical Supplies | 2007-07-27 |
| Walgreen Co. · Walgreens #10579 | 403 S Main St, Bryan, OH 43506-2186 | Durable Medical Equipment & Medical Supplies | 2007-06-27 |
| Walgreen Co. · Walgreens #04762 | 2435 E Greenway Pkwy, Phoenix, AZ 85032-3591 | Durable Medical Equipment & Medical Supplies | 2006-08-01 |
| Walgreen Co. · Walgreens #10460 | 1041 Route 28, South Yarmouth, MA 02664-4115 | Durable Medical Equipment & Medical Supplies | 2007-06-29 |
| Walgreen Co. · Walgreens #10817 | 451 Fm 548, Forney, TX 75126-6288 | Clinical Medical Laboratory | 2007-08-10 |
| Walgreen Co. · Walgreens #04909 | 2921 N 83rd Ave, Phoenix, AZ 85033-4761 | Durable Medical Equipment & Medical Supplies | 2006-08-01 |
| Walgreen Co. · Walgreens #10669 | 657 S 6th St, Macclenny, FL 32063-2607 | Durable Medical Equipment & Medical Supplies | 2007-07-11 |
| Walgreen Co. · Walgreens #10090 | 12311 N Nc Hwy 150, Winston-Salem, NC 27127-9730 | Durable Medical Equipment & Medical Supplies | 2007-06-27 |
| Walgreen Co. · Walgreens #11175 | 701 Us Highway 259 N, Kilgore, TX 75662-6041 | Clinical Medical Laboratory | 2007-07-31 |
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Dataset Information
This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
Dataset Details
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.
