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Active NPI 1114440054 Organization (Entity Type 2) Subpart Facility

Walgreen Co

Pharmacy • Riverside, RI

Parent Organization: Walgreens Boots Alliance Inc

Public Directory Information & Medical Disclaimer

This facility profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or healthcare referrals. Always consult a qualified medical professional for health queries.

About Walgreen Co NPI 1114440054 Summary

Walgreen Co is a verified healthcare organization specializing in Pharmacy operating in Riverside, RI. Located at 1086 WILLETT AVE, this facility provides patient care and medical services under National Provider Identifier (NPI) 1114440054.

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 10 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1086 Willett Ave

Riverside, RI 029152067

Telephone 4014335710
Fax 4014335713

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

10 Linked
Joy Boutin NPI 1497455356

Pharmacist

Riverside, RI

View Practitioner Profile →
Madeleine Ng NPI 1548646912

Pharmacist

Riverside, RI

View Practitioner Profile →
Danielle Martins NPI 1568176410

Pharmacist

Riverside, RI

View Practitioner Profile →

Facility & Registry History Timeline

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

16 Historical Events
📍
Updated Business Mailing Address June 06, 2022

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

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Durable Medical Equipment & Medical Supplies

📍
Updated Practice Location May 29, 2019

Registered at 1086 WILLETT AVE, RIVERSIDE, RI 029152067 (Tel: 4014335710)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2019

Pharmacy

📍
Updated Practice Location August 15, 2018

Registered at 1086 WILLETT AVE, RIVERSIDE, RI 02915 (Tel: 4014335710)

NPI Profile Active October 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2017

Registered at 1086 WILLETT AVE, RIVERSIDE, RI 029152067 (Tel: 4014335710)

📍
Updated Business Mailing Address October 11, 2017

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

🏛️
Organization / Clinic Name Updated October 11, 2017

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2017

Durable Medical Equipment & Medical Supplies

NPI Profile Active July 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2017

Registered at 1086 WILLETT AVE, RIVERSIDE, RI 029152067 (Tel: 4014335710)

📍
Updated Business Mailing Address July 24, 2017

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

🏛️
Organization / Clinic Name Updated July 24, 2017

Operating as WALGREEN CO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2017

Durable Medical Equipment & Medical Supplies

🟢
Initial NPI Registration & Enumeration July 24, 2017

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1114440054
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: July 24, 2017
Last Update: June 06, 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.