Organization Active NPI

Walgreens

  • Chronic Disease Hospital
  • Anaheim, CA
National Provider Identifier
1013256601
Registry record updated Feb 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
Legal business name
WALGREENS
Practice address
1413 S Kenmore St
Anaheim, CA 92804-5126
Phone
(714) 595-5304
NPI assigned
Feb 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Bao That Ton
Title
Pharmacist
Phone
(714) 595-5304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X Primary

Addresses

Primary practice location

1413 S Kenmore St
Anaheim, CA 92804-5126

Mailing address

1413 S Kenmore St
Anaheim, CA 92804-5126
Phone (714) 595-5304

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359849600000",
    "number": "1013256601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S KENMORE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045126",
            "telephone_number": "714-595-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S KENMORE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045126",
            "telephone_number": "714-595-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-03",
        "last_updated": "2013-02-03",
        "status": "A",
        "authorized_official_last_name": "TON",
        "authorized_official_first_name": "BAO",
        "authorized_official_middle_name": "THAT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "714-595-5304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.