Active NPI
Walgreens
- Community/Retail Pharmacy
- Arlington, TX
National Provider Identifier
1053715490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 55743
- Legal business name
- WALGREENS
- Practice address
- 8100 Matlock Rd
Arlington, TX 76002-4102 - Phone
- (817) 473-8580
- NPI assigned
- Oct 14, 2014
- 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
- Jerry Padilla
- Title
- Pharmacy Supervisor
- Phone
- (972) 822-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 55743 | TX | Primary |
Addresses
Primary practice location
8100 Matlock Rd
Arlington, TX 76002-4102
Mailing address
1134 Hidden RDG
Apt 2184
Irving, TX 75038-7989
National Provider Directory
National Provider Directory- Tax ID family
- Walgreen Co
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413244800000",
"number": "1053715490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 HIDDEN RDG",
"address_2": "APT 2184",
"city": "IRVING",
"state": "TX",
"postal_code": "750387989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 MATLOCK RD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024102",
"telephone_number": "817-473-8580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-14",
"last_updated": "2014-10-14",
"status": "A",
"authorized_official_last_name": "PADILLA",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "PHARMACY SUPERVISOR",
"authorized_official_telephone_number": "972-822-2600"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "55743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.