Overview
Walgreen Co is a Pharmacy (organization) practicing in Riverton, Utah. The National Provider Identifier (NPI) is #1831104876, which was assigned on July 29, 2006, and the registration record was last updated on May 12, 2022. The practitioner's main practice location is at 12623 S Redwood Rd, Riverton, UT 84065-6606; the contact telephone number is 8012540138. The primary taxonomy of Walgreen Co is Pharmacy (333600000X). The authorized official for Walgreen Co is Kira L Taylor (Manager). Walgreen Co is licensed to practice in the state of Utah (#52797851703).
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 | 1831104876 |
| Entity Type | Organization |
| Organization Name | WALGREEN CO |
| Provider Name | WALGREEN CO |
| Other Organization Name | WALGREENS #07007 (Doing Business As Name) |
| Other Name | WALGREENS #07007 |
| Practice Address | 12623 S Redwood Rd Riverton UT 84065-6606 |
| Practice Telephone | 8012540138 |
| Mailing Address | 1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Mailing Telephone | 2177092351 |
| Mailing Fax Number | 2177092344 |
| Certification Date | 2022-05-12 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-05-12 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | WALGREENS BOOTS ALLIANCE INC |
Authorized Official Information
| Official Name | KIRA L 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 | 52797851703 | UT | ||
| N | 3336C0003X | Pharmacy | Community/Retail Pharmacy |
Other Provider Identifiers
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 4698897 | OTHER ID NUMBER-COMMERCIAL NUMBER | Other | |
| 0570416 | IA | MEDICAID |
Other Provider Names
| Other Organization Name | Type |
|---|---|
| WALGREENS #07007 | 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 | 951 Mercer St, Seattle, WA 98109-4351 | Durable Medical Equipment & Medical Supplies | 2024-03-13 |
| Walgreen Co | 110 E 6th Ave, Junction City, OR 97448-1807 | 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 · Walgreens #21446 | 10819 S 192nd Ave, Gretna, NE 68028-3646 | Durable Medical Equipment & Medical Supplies | 2024-01-04 |
| Walgreen Co · Walgreens #21409 | 1555 Sw 53rd St, Corvallis, OR 97333-2630 | 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 | 4700 W Sandlake Rd, Orlando, FL 32819 | Durable Medical Equipment & Medical Supplies | 2024-03-29 |
| Walgreen Co · Walgreens #21420 | 8840 Times Dispatch Blvd, Mechanicsville, VA 23116-0000 | Durable Medical Equipment & Medical Supplies | 2022-02-21 |
| Walgreen Co | 3320 Crompond Rd, Yorktown, NY 10598 | Durable Medical Equipment & Medical Supplies | 2024-03-29 |
| 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 | Durable Medical Equipment & Medical Supplies |
| 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 |
|---|---|---|---|
| Morehouse Community Medical Centers, Inc. | 420 Wheelis St, West Monroe, LA 71292-3940 | Pharmacy | 2024-05-09 |
| Fairview Health Services | 750 E 34th St, Hibbing, MN 55746-2341 | Pharmacy | 2024-04-30 |
| Divine Health Pharmacy | 6730 Atascocita Rd Ste 114, Atascocita, TX 77346-1995 | Pharmacy | 2024-05-01 |
| Alexandra Chloe Su | 88 S Garfield Ave Unit 231, Alhambra, CA 91801-6878 | Pharmacy | 2024-04-30 |
| Nature Elements Pharmacy LLC | 12946 Dairy Ashford Rd Ste 746, Sugar Land, TX 77478-3161 | Pharmacy | 2024-05-06 |
| Edson Fernando Rodriguez | 9619 Corbin Ave, Northridge, CA 91324-2121 | Pharmacy | 2024-05-07 |
| Nashville Pharmacy Services LLC | 20 Settlers Landing Rd, Hampton, VA 23669-3970 | Pharmacy | 2024-05-08 |
| Organic Woodhaven Pharmacy Inc. | 63106 Woodhaven Blvd, Rego Park, NY 11374-4841 | Pharmacy | 2024-04-30 |
| Sidney Rorrer | 1970 Roanoke Blvd, Salem, VA 24153-6404 | Pharmacy | 2024-05-06 |
| Fairview Health Services | 1925 Woodwinds Dr, Woodbury, MN 55125-4445 | Pharmacy | 2024-04-30 |
| Find all providers with the same taxonomy | |||
Location Information
| Street Address | 12623 S REDWOOD RD |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-6606 |
| Country | US |
Providers in the same location
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Emmet Coleman | 12623 S Redwood Rd, Riverton, UT 84065-6606 | Pharmacist | 2011-10-18 |
| Vickie Heaton Empey | 12623 S Redwood Rd, Riverton, UT 84065-6606 | Pharmacist | 2011-11-04 |
| Raylene Ann Naftzger | 12623 S Redwood Rd, Riverton, UT 84065-6606 | Pharmacist | 2011-11-07 |
| Alicia Corinne Hansen | 12623 S Redwood Rd, Riverton, UT 84065-6606 | Pharmacist | 2019-06-11 |
| Kimberly Wilson | 12623 S Redwood Rd, Riverton, UT 84065-6606 | Pharmacist | 2023-05-23 |
| Michael Lewis Tyler | 12623 S Redwood Rd, Riverton, UT 84065-6606 | Pharmacist | 2023-10-30 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Aaron Duane Arnold | 12623 S. Redwood Rd, Riverton, UT 84065-6606 | Pharmacist | 2011-11-04 |
Providers in the same zip code
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Brenda Fuell | 12959 South Picket Fence Lane, Riverton, UT 84065 | Dental Hygienist | 2017-09-09 |
| Emily Calderon | 14629 S Porter Rockwell Blvd, Suite 2, Bluffdale, UT 84065 | Nurse Practitioner | 2020-08-24 |
| Clarissa Story | 773 W 12600 S, #301, Riverton, UT 84065 | Audiologist-Hearing Aid Fitter | 2022-07-08 |
| Mikalyn Kay | 3740 S Market Center Dr, #1200, Riverton, UT 84065 | Social Worker | 2023-04-18 |
| Anna Churchill | 3740 S Market Center Dr #1200, Riverton, UT 84065 | School Social Worker | 2023-04-21 |
| Bethany Marie Breck · Bethany Marie Wood | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | Counselor | 2017-08-30 |
| William Lance Andersen | 1202 W 12600 W, Riverton, UT 84065 | Pharmacist | 2020-11-02 |
| Dentists of Riverton, LLP | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | General Practice Dentistry | 2020-01-02 |
| Renaissance Ranch Bluffdale Women's Program | 2356 Thunderhead Way, Bluffdale, UT 84065 | Substance Abuse Rehabilitation Facility | 2017-01-20 |
| Rachel Titensor Schmidt | 3002 W 12600 S., Riverton, UT 84065 | Mental Health Counselor | 2022-12-13 |
| Find all providers in the same zip code | |||
Similar Providers
Providers with similar names
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Walgreen Co. · Walgreens #10460 | 1041 Route 28, South Yarmouth, MA 02664-4115 | Durable Medical Equipment & Medical Supplies | 2007-06-29 |
| Walgreen Co. · Walgreens # 10777 | 140 S Milford Rd, Milford, MI 48381-2741 | Durable Medical Equipment & Medical Supplies | 2007-07-26 |
| Walgreen Co. · Walgreens #10824 | 430 Broadway, Revere, MA 02151-3058 | Durable Medical Equipment & Medical Supplies | 2006-07-29 |
| Walgreen Co. · Walgreens #10669 | 657 S 6th St, Macclenny, FL 32063-2607 | Durable Medical Equipment & Medical Supplies | 2007-07-11 |
| Walgreen Co. · Walgreens #10494 | 100 Rhode Island Ave, Rochester, PA 15074-2214 | Durable Medical Equipment & Medical Supplies | 2007-07-26 |
| Walgreen Co. · Walgreens #10092 | 2101 Church Ave, Brooklyn, NY 11226-3909 | Durable Medical Equipment & Medical Supplies | 2007-08-05 |
| Walgreen Co. · Walgreens #09475 | 10624 Gibsonton Dr, Riverview, FL 33578-5430 | Durable Medical Equipment & Medical Supplies | 2006-07-29 |
| Walgreen Co. · Walgreens #10956 | 4 E League St, Norwalk, OH 44857-1308 | Durable Medical Equipment & Medical Supplies | 2007-06-27 |
| Walgreen Co. · Walgreens #09412 | 5100 Dixie Hwy, Louisville, KY 40216-1702 | Durable Medical Equipment & Medical Supplies | 2007-08-09 |
| Walgreen Co. · Walgreens #10209 | 800 Waverley Rd, North Andover, MA 01845-5047 | Durable Medical Equipment & Medical Supplies | 2007-06-29 |
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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.
