Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

051292971 Issued in IL

Legal business name

WALGREENS

Practice address

1201 E State St
Rockford, IL 61104-2212

Phone

(815) 962-2812

NPI assigned

Sep 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Sean Falsey

Title

Pharmacy Supervisor

Phone

(815) 397-1587

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1104107796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042212",
            "telephone_number": "815-962-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "FALSEY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "815-397-1587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051292971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co. (Walgreens #12555)
• Walgreen Co. (Walgreens #7069)
• Walgreen Co. (Walgreens #6002)
• Walgreen Co. (Walgreens #6004)
• Walgreen Co. (Walgreens #9127)
• Jimmy L Walker Jr., PA-C
• Lashonda Walker
• John Wall, MD
• Adam N Wallace, MD
• Kiley Wallden, OTR/L

• Community/Retail Pharmacy in Rockford, IL
• Providers in Rockford, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.