Active NPI
Walgreen
- Point of Service
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 5302017458
- Legal business name
- WALGREEN
- Practice address
- 690 Matrin Luther King Blvd N
Pontiac, MI 48342-1626 - Phone
- (248) 745-8495
- Fax
- (248) 745-8367
- NPI assigned
- Sep 16, 2011
- Last updated
- Sep 16, 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
- Neil Brown
- Title
- Pharmacist
- Phone
- (248) 745-8495
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | 5302017458 | MI | Primary |
Addresses
Primary practice location
690 Matrin Luther King Blvd N
Pontiac, MI 48342-1626
Mailing address
690 Matrin Luther Kings Blvd North
Pontiac, MI 48342-1626
Phone (248) 745-8495
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.
Locations
690 Mlk Blvd N
Pontiac, MI 48342
Phone (248) 745-8395
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Pontiac, MI
- NPI 1649547720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316131200000",
"number": "1083996896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "690 MATRIN LUTHER KINGS BLVD NORTH",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483421626",
"telephone_number": "248-745-8495",
"fax_number": "248-745-8367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 MATRIN LUTHER KING BLVD N",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483421626",
"telephone_number": "248-745-8495",
"fax_number": "248-745-8367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "NEIL",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "248-745-8495"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": "MI",
"license": "5302017458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.