Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

47343 Issued in TX

Legal business name

WALGREENS

Practice address

7151 Blvd 26
North Richland Hills, TX 76180-8607

Phone

(817) 514-9474

NPI assigned

Mar 24, 2011

Last updated

Mar 24, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

WALGREENSAs reported in NPPES

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

Authorized official

Name

Mr. Jorge A. Martillo, RPHNPI 1841576345

Title

Pharmacist- Manager

Phone

(718) 926-3432

Specialties & licenses 1

Addresses

Part of

Walgreens 01007

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.

• Jorge Antonio Martillo, R.PH

  • Pharmacist
  • North Richland Hills, TX
  • NPI 1841576345
  Authorized official Same address or phone

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1104125574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 ROSEWOOD DR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517807",
            "telephone_number": "718-926-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 BLVD 26",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808607",
            "telephone_number": "817-514-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "MARTILLO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHARMACIST- MANAGER",
        "authorized_official_telephone_number": "718-926-3432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "47343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores Texas, LP (Vision Center 30-0807)
• Walgreen Co (Walgreens #03825)
• Walgreen Co (Walgreens #06631)
• Walgreen Co (Walgreens #04692)
• Walgreen Co (Walgreens #05214)
• Brian Keith Walker, L.C.S.W.
• Brittany Alexia Walker, SLPA
• Kristyn A Walker, OT
• Paula Jean Walker, RPH
• Seth F Walker, ATC

• Community/Retail Pharmacy in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.