Walgreens

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

35747 Issued in TN

Legal business name

WALGREENS

Practice address

119 Forks of the River Pkwy
Sevierville, TN 37862-3435

Phone

(865) 908-8755

Fax

(865) 908-8771

NPI assigned

Oct 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Peggy Ann Lucas, PHARMD

Title

Pharmacist

Phone

(865) 908-8755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318723200000",
    "number": "1023393543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 FORKS OF THE RIVER PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623435",
            "telephone_number": "865-908-8755",
            "fax_number": "865-908-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 FORKS OF THE RIVER PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378623435",
            "telephone_number": "865-908-8755",
            "fax_number": "865-908-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "865-908-8755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "TN",
            "license": "35747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreen Co
• Walgreen Co.
• Jill Suzanne Wall, P.A.
• Linda S Ward
• Watco Communities, LLC
• Brianna Watson
• Raki Watson

• Community Health Clinic/Center in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Community Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; 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.