Walgreens #19061

LBN: Walgreen Co
Walgreens #19061 is an health care organization with primary practice located at 3852 Main St , Stone Ridge NY 12484-5603. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Walgreen Co can be contacted via phone (845) 687-7766, or through Taylor, Kira via phone (217) 709-2351.

Contact Information

Primary practice address
3852 Main St Stone Ridge NY 12484-5603
Phone: (845) 687-7766
Fax: (845) 687-0570
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Kira
Phone: (217) 709-2351

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X 036353 New York
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1902322118
LBN Legal business name Walgreen Co
DBA Doing business as Walgreens #19061
Authorized official Taylor, Kira
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2017
Last updated Jun 6th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902322118 NPPES
New York Other 5823807 NCPDP
New York MEDICAID 05054839 NCPDP

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