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WALGREENS #07636
NPI 1053328070
Pharmacy in Centerville, OH

Active since August 02, 2006
1402 MIAMISBURG CENTERVILLE RD, CENTERVILLE, OH 45459(937) 291-2741(937) 291-2840 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Walgreens #07636 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREENS #07636 (NPI 1053328070) is a healthcare organization registered as a pharmacy in Centerville, Ohio and active in the NPI registry since August 2006. The organization lists Alan T Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1053328070
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1402 MIAMISBURG CENTERVILLE RDCenterville, OH 45459-3802
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(937) 291-2741
Fax(937) 291-2840
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan T NielsenTreasurer · (847) 315-3523
Enumeration DateAugust 2, 2006
Last NPPES UpdateDecember 28, 2015
✔ NPI 1053328070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OH · 21432950
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1402 MIAMISBURG CENTERVILLE RD, Centerville, OH 45459
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Other Names 1

Doing Business AsWalgreens #07636

Other Identifiers 5

Other3672347Other Id Number-commercial Number
Medicare NSC0282934368OH
Medicare PINP00400633
Medicaid2464104OH
Medicare PINPHC049OH

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE L. MITCHELL PHARMD
Pharmacist
1402 MIAMISBURG CENTERVILLE RD
DAYTON, OH 45459
Montgomery County (937) 291-2741
KATHY MAYER RPH
Pharmacist
1402 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 291-2741
DR. ANDREW SCOTT GRUNER PHARM D.
Pharmacist
1402 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 291-2741
MRS. AMANDA FURNAS PHARMD
Pharmacist
1402 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 291-2741
RAJI N REVAN
Pharmacist
1402 MIAMISBURG CENTERVILLE RD
CENTERVILLE, OH 45459
Montgomery County (937) 291-2741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1053328070. It was assigned to this organization in the NPPES registry on August 2, 2006. The provider is doing business as Walgreens #07636.

Where is Walgreen Co located?

Walgreen Co is located at 1402 Miamisburg Centerville Rd, Centerville, OH 45459. The listed phone number is (937) 291-2741.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.