Overview
Walgreen Co is a Pharmacy (organization) practicing in Albuquerque, New Mexico. The National Provider Identifier (NPI) is #1356356257, which was assigned on July 29, 2006, and the registration record was last updated on April 25, 2022. The practitioner's main practice location is at 3401 Isleta Blvd Sw, Albuquerque, NM 87105-5836; the contact telephone number is 5058773130, and the fax number is 5058778072. 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 New Mexico (#P1443).
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 | 1356356257 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Provider Name | WALGREEN CO |
| Other Organization Name | WALGREENS #15033 (Doing Business As Name) |
| Other Name | WALGREENS #15033 |
| Practice Address | 3401 Isleta Blvd Sw Albuquerque NM 87105-5836 |
| Practice Telephone | 5058773130 |
| Practice Fax Number | 5058778072 |
| Mailing Address | 1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Mailing Telephone | 2177092351 |
| Mailing Fax Number | 2177092344 |
| Certification Date | 2022-04-25 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-04-25 |
| 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 | P1443 | NM | ||
| N | 3336C0003X | Pharmacy | Community/Retail Pharmacy |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 65672 | NM | MEDICAID | |
| 36265973002 | NE | MEDICAID | |
| 3207950 | OTHER ID NUMBER-COMMERCIAL NUMBER | Other |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| WALGREENS #15033 | Doing Business As Name |
Providers with the same name
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Walgreen Co · Fieldale Family Pharmacy Gainesville | 584 Lanier Park Dr, Gainesville, GA 30501-2000 | Durable Medical Equipment & Medical Supplies | 2024-03-27 |
| Walgreen Co · Walgreens #21409 | 1555 Sw 53rd St, Corvallis, OR 97333-2630 | Durable Medical Equipment & Medical Supplies | 2021-10-21 |
| Walgreen Co · Walgreens # 21377 | 1402 Central Ave Ne, East Grand Forks, MN 56721-1605 | Durable Medical Equipment & Medical Supplies | 2021-12-13 |
| Walgreen Co · Walgreens #21434 | 174 Ne Saint Charles Way, Prineville, OR 97754-2568 | Durable Medical Equipment & Medical Supplies | 2021-10-21 |
| Walgreen Co · Walgreens #21376 | 12 Old Waco Rd, Temple, TX 76502 | Durable Medical Equipment & Medical Supplies | 2022-07-12 |
| Walgreen Co | 110 E 6th Ave, Junction City, OR 97448-1807 | Durable Medical Equipment & Medical Supplies | 2021-10-21 |
| Walgreen Co · Walgreens #21408 | 1701 Shaff Rd, Stayton, OR 97383-1091 | Durable Medical Equipment & Medical Supplies | 2021-10-21 |
| Walgreen Co | 1700 Corporate Dr, Norcross, GA 30093-2815 | Durable Medical Equipment & Medical Supplies | 2024-03-27 |
| Walgreen Co | 1870 Airline Dr, Bossier City, LA 71112-2702 | Durable Medical Equipment & Medical Supplies | 2023-07-12 |
| Walgreen Co · Walgreens #21446 | 10819 S 192nd Ave, Gretna, NE 68028-3646 | Durable Medical Equipment & Medical Supplies | 2024-01-04 |
| 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 |
|---|---|---|---|
| Dms Pharmacy, LLC | 308 N Lewis St, New Iberia, LA 70563-2843 | Pharmacy | 2024-07-02 |
| Pharmacy4humanity | 18421 S Main St, Gardena, CA 90248-4609 | Pharmacy | 2024-07-05 |
| Juba Pharmacy Inc | 14277 Tukwila International Blvd, Tukwila, WA 98168-4124 | Pharmacy | 2024-07-01 |
| Healing Pharmacy Inc | 864 Broadway, Bayonne, NJ 07002-3054 | Pharmacy | 2024-07-04 |
| Memory Island Pharmacy PC | 29800 Bradley Rd Ste 112, Menifee, CA 92586-6524 | Pharmacy | 2024-06-24 |
| Mountain Comprehensive Health Corporation | 1530 Hwy 25e, Middlesboro, KY 40965 | Pharmacy | 2024-07-02 |
| All Script Rx Inc | 18308 Sherman Way Ste 2, Reseda, CA 91335-4476 | Pharmacy | 2024-07-05 |
| The Cannery Pharmacy Services LLC | 75 Miranda Lambert Way Ste 20, Lindale, TX 75771-3107 | Pharmacy | 2024-06-24 |
| Montana Wellness Rx | 1230 Montana Ave Ste 106, Santa Monica, CA 90403-5986 | Pharmacy | 2024-07-01 |
| Eminent Services Corporation | 7495 New Technology Way, Frederick, MD 21703-9401 | Pharmacy | 2024-07-02 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 3401 ISLETA BLVD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-5836 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| April Blake Miller | 3401 Isleta Blvd Sw, Albuquerque, NM 87105-5836 | Pharmacist | 2013-04-09 |
| Cody Ko | 3401 Isleta Blvd Sw, Albuquerque, NM 87105-5836 | Pharmacist | 2019-03-27 |
| Xuan Le | 3401 Isleta Blvd Sw, Albuquerque, NM 87105-5836 | Pharmacist | 2023-02-02 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Dialysis Clinic Inc. | 1725 Isleta Blvd, Sw, Albuquerque, NM 87105 | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 2012-06-12 |
| Carlos Elias Narro | 2001 El Centro Familiar Blvd Sw # B, Albuquerque, NM 87105 | Rehabilitation Practitioner | 2018-06-11 |
| Flor De Margarita Home Care Agency, LLC | 7129 Isleta Blvd. Sw, Albuquerque, NM 87105 | Personal Care Attendant | 2024-01-18 |
| Emily Cohen | 2001 N. Centro Familiar, First Choice Community Healthcare, Albuquerque, NM 87105 | Family Medicine Physician | 2014-04-14 |
| Rachel Elaine Kadetz | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | Counselor | 2015-06-01 |
| Todd Allen Conner | 3500 Coors Blvd Se, Albuquerque, NM 87105 | Pharmacist | 2014-07-19 |
| Michelle Zamora | 3500 Coors Blvd, Albuquerque, NM 87105 | Pharmacist | 2014-08-04 |
| Clarence Mills | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | Addiction (Substance Use Disorder) Counselor | 2016-04-13 |
| Karen Bejarano | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | Behavior Technician | 2017-09-21 |
| Jacob Hill | 2001-B El Centro Familiar Blvd Se, Albuqerque, NM 87105 | Rehabilitation Practitioner | 2020-09-02 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Walgreen Co. · Walgreens #11440 | 2331 S Atlantic Blvd, Monterey Park, CA 91754-6805 | Durable Medical Equipment & Medical Supplies | 2007-07-11 |
| Walgreen Co. · Walgreens #10669 | 657 S 6th St, Macclenny, FL 32063-2607 | Durable Medical Equipment & Medical Supplies | 2007-07-11 |
| Walgreen Co. · Walgreens #09412 | 5100 Dixie Hwy, Louisville, KY 40216-1702 | Durable Medical Equipment & Medical Supplies | 2007-08-09 |
| Walgreen Co. · Walgreens #10092 | 2101 Church Ave, Brooklyn, NY 11226-3909 | Durable Medical Equipment & Medical Supplies | 2007-08-05 |
| Walgreen Co. · Walgreens #00809 | 8911 N 7th St, Phoenix, AZ 85020-2911 | Durable Medical Equipment & Medical Supplies | 2006-07-31 |
| Walgreen Co. · Walgreens #10817 | 451 Fm 548, Forney, TX 75126-6288 | Clinical Medical Laboratory | 2007-08-10 |
| Walgreen Co. · Walgreens #11175 | 701 Us Highway 259 N, Kilgore, TX 75662-6041 | Clinical Medical Laboratory | 2007-07-31 |
| Walgreen Co. · Walgreens #04909 | 2921 N 83rd Ave, Phoenix, AZ 85033-4761 | Durable Medical Equipment & Medical Supplies | 2006-08-01 |
| Walgreen Co. · Walgreens #10315 | 2005 Centennial Blvd, Independence, KY 41051-7041 | Clinical Medical Laboratory | 2007-08-05 |
| Walgreen Co. · Walgreens #10383 | 815 Harlem Rd, West Seneca, NY 14224-1082 | Durable Medical Equipment & Medical Supplies | 2007-07-24 |
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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.
