MEDICARE: WALGREEN CO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy
3	333600000X	Pharmacy	0001003	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1000392	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518973007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALGREEN CO

Provider Business Mailing Address
First Line	:	1901 E VOORHEES ST
Second Line	:	MS #790
City	:	DANVILLE
State	:	IL
Zip	:	61834-4509
Country	:	US
Telephone Number	:	217-709-2351
Fax Number	:	217-709-2344

Provider Business Practice Location Address
First Line	:	791 NE 167TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-2404
Country	:	US
Telephone Number	:	305-652-7332
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KIRA L TAYLOR
Credential	:
Telephone Number	:	217-709-2351

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	10/31/2023

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1902070907 — TRECIA ELAINE ELIZABETH MCFARLANE M.D.
Practice Location Address:

743 NE 167TH ST
NORTH MIAMI BEACH, FL
33162-2404

Practice Phone: 305-957-0017
Practice Fax: 786-629-3922

1548414121 — DR. GABRIEL BIZOUATI M.D.
Practice Location Address:

743 NE 167TH ST
NORTH MIAMI BEACH, FL
33162-2404

Practice Phone: 305-597-0017
Practice Fax: 786-629-3922

1164705398 — DR. FOLASADE A IYANOYE PHARMD
Practice Location Address:

791 NE 167TH ST
NORTH MIAMI BEACH, FL
33162-2404

Practice Phone: 305-652-7332
Practice Fax: 305-652-6316

1790052009 — MAHMOUD RANAIY
Practice Location Address:

791 NE 167TH ST
NORTH MIAMI BEACH, FL
33162-2404

Practice Phone: 305-652-7332
Practice Fax: 302-652-6316

1306321955 — MERLYN RODRIGUEZ APRN
Practice Location Address:

743 NE 167TH ST
NORTH MIAMI BEACH, FL
33162-2404

Practice Phone: 305-957-0017
Practice Fax: 786-629-3922

Directions to “WALGREEN CO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.