Walgreens

Primary specialty

PharmacyTaxonomy code 333600000X

License

03113647 Issued in OH

Legal business name

WALGREENS

Practice address

520 Broadway Ave
Bedford, OH 44146-2724

Phone

(440) 232-6500

Fax

(440) 232-4921

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Pallo, RPH

Title

Walgreens District Pharmacy Supervi

Phone

(216) 224-1379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1033490099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BROADWAY AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462724",
            "telephone_number": "440-232-6500",
            "fax_number": "440-232-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BROADWAY AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462724",
            "telephone_number": "440-232-6500",
            "fax_number": "440-232-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "PALLO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "WALGREENS DISTRICT PHARMACY SUPERVI",
        "authorized_official_telephone_number": "216-224-1379",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "03113647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilla Vibhakar, M.D.
• Village of Oakwood
• Joanne Hartmann Villegas, CNP
• Wal-Mart Stores East LP
• Walgreen Co
• Nicolette Walker, LPN
• Roland Walker Jr.
• Adrienne Wallace, LPN
• Warm Hearts Inc
• Karynshae Washington

• Pharmacy in Bedford, OH
• Providers in Bedford, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.