NPIMap

Organization Active NPI

Walgreens

  • Community/Retail Pharmacy
  • Deerfield, IL
National Provider Identifier
1114200938
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
051288387 Issued in IL
Legal business name
WALGREENS
Practice address
780 Waukegan Rd
Deerfield, IL 60015-4305
Phone
(847) 945-0611
Fax
(847) 945-5978
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Mrs. Zhanna Lacroix, RPH
Title
Pharmacy Manager
Phone
(847) 767-3875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 051288387 IL Primary

Addresses

Primary practice location

780 Waukegan Rd
Deerfield, IL 60015-4305

Mailing address

780 Waukegan Rd
Deerfield, IL 60015-4305
Phone (847) 945-0611

National Provider Directory

National Provider Directory
Tax ID family
Bond Drug Company of Illinois LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1114200938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154305",
            "telephone_number": "847-945-0611",
            "fax_number": "847-945-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154305",
            "telephone_number": "847-945-0611",
            "fax_number": "847-945-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "LACROIX",
        "authorized_official_first_name": "ZHANNA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "847-767-3875",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051288387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.