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Active NPI 1710402474 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Hackensack, NJ

Parent Organization: Walgreens Boots Alliance Inc

About Walgreen Co NPI 1710402474 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Hackensack, NJ. Located at 123 ANDERSON ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1710402474.

Walgreen Co operates as a subpart facility of Walgreens Boots Alliance Inc. Administrative operations and authorized compliance are overseen by Kira Taylor (Manager).

The facility is associated with 7 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

123 Anderson St

Hackensack, NJ 076013503

Telephone 2014880654
Fax 2018831619

Authorized Official Information

Authorized Contact Name

Kira Taylor

Title / Role

Manager

Official Telephone

2177092351

Facility Classifications & Specialties

Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 333600000X

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.

Durable Medical Equipment & Medical Supplies

NUCC Taxonomy Code: 332B00000X

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.

Pharmacy - Community/Retail Pharmacy

NUCC Taxonomy Code: 3336C0003X

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.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

7 Linked

Licensed Practical Nurse

Hackensack, NJ

View Practitioner Profile →

Pharmacist

Hackensack, NJ

View Practitioner Profile →
Winifred Ikwuka NPI 1477871515

Pharmacist

Hackensack, NJ

View Practitioner Profile →
Jenny Lynn Serrano NPI 1699341305

Registered Nurse

Hackensack, NJ

View Practitioner Profile →
Albert Amirov NPI 1700020476

Pharmacist

Hackensack, NJ

View Practitioner Profile →

Pharmacist

Hackensack, NJ

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

17 Historical Events
📍
Updated Business Mailing Address June 03, 2022

Registered at 1901 E VOORHEES ST, MS 790, DANVILLE, IL 618344509 (Tel: 2177092351)

📍
Updated Practice Location June 15, 2018

Registered at 123 ANDERSON ST, HACKENSACK, NJ 076013503 (Tel: 2014880654)

📍
Updated Practice Location June 06, 2018

Registered at 123 ANDERSON ST, HACKENSACK, NJ 07601 (Tel: 2014880654)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Durable Medical Equipment & Medical Supplies

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2018

Pharmacy

NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2018

Registered at 123 ANDERSON ST, HACKENSACK, NJ 076013503 (Tel: 2014880654)

📍
Updated Business Mailing Address February 06, 2018

Registered at 1901 E VOORHEES ST # MS 790, DANVILLE, IL 618344509 (Tel: 2177092386)

🏛️
Organization / Clinic Name Updated February 06, 2018

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Pharmacy

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2017

Pharmacy

NPI Profile Active August 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2017

Registered at 123 ANDERSON ST, HACKENSACK, NJ 076013503 (Tel: 2014880654)

📍
Updated Business Mailing Address August 10, 2017

Registered at 1901 E VOORHEES ST # MS 790, DANVILLE, IL 618344509 (Tel: 2177092386)

🏛️
Organization / Clinic Name Updated August 10, 2017

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2017

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration August 03, 2017

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1710402474
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: August 03, 2017
Last Update: June 03, 2022

Mailing Address

1901 E Voorhees St, Ms 790

Danville, IL 618344509

Phone: 2177092351

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.