Walgreens #15025
LBN: Walgreen Co
Walgreens #15025 is an health care organization with primary practice located at 2190 Shattuck Ave , Berkeley CA 94704-1307. 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 (510) 849-4691, or through Taylor, Kira via phone (217) 709-2351.
Contact Information
Primary practice address
2190 Shattuck Ave
Berkeley CA 94704-1307
Phone: (510) 849-4691
Fax: (510) 849-5460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | PHY40414 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1497760763 |
|---|---|
| LBN Legal business name | Walgreen Co |
| DBA Doing business as | Walgreens #15025 |
| Authorized official | Taylor, Kira |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Apr 25th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497760763 | NPPES |
| California | MEDICAID | 1497760763 | |
| California | Other | 0504197 | |
| California | MEDICAID | PHY404140 |
Popular Providers
-
Kaiser Foundation Health Plan Inc
1795 2Nd St Ste B , Berkeley CA 94710-1704 -
Walgreen Co
2190 Shattuck Ave , Berkeley CA 94704-1307 -
United Pharmacy
2929 Telegraph Ave , Berkeley CA 94705-2017 -
Walgreen Co
1607 Shattuck Ave , Berkeley CA 94709-1611 -
Garfield Beach Cvs Llc
2655 Telegraph Ave , Berkeley CA 94704-3323 -
Valor Compounding Pharmacy, Inc
2461 Shattuck Ave. , Berkeley CA 94704 -
Walgreen Co
2995 San Pablo Ave , Berkeley CA 94702-2465 -
Walgreen Co
1050 Gilman St , Berkeley CA 94710-1532