Active NPI
Walgreens
- Pharmacist
- Bryan, TX
National Provider Identifier
1043595366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50104
- Legal business name
- WALGREENS
- Practice address
- 3312 E 29TH St
Bryan, TX 77802-2730 - Phone
- (979) 776-9128
- NPI assigned
- Oct 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Stoneciper
- Title
- District Manager
- Phone
- (512) 459-2295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50104 | TX | Primary |
Addresses
Primary practice location
3312 E 29TH St
Bryan, TX 77802-2730
Mailing address
3312 E 29TH St
Bryan, TX 77802-2730
Phone (979) 776-9128
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318896000000",
"number": "1043595366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 E 29TH ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022730",
"telephone_number": "979-776-9128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 E 29TH ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022730",
"telephone_number": "979-776-9128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-18",
"last_updated": "2011-10-18",
"status": "A",
"authorized_official_last_name": "STONECIPER",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "DISTRICT MANAGER",
"authorized_official_telephone_number": "512-459-2295"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "TX",
"license": "50104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.