Active NPI
Walgreens
- Community/Retail Pharmacy
- Palm Coast, FL
National Provider Identifier
1114296050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PS38551
- Legal business name
- WALGREENS
- Practice address
- 5000 E Highway 100
Palm Coast, FL 32164-2363 - Phone
- (386) 586-3830
- Fax
- (386) 586-5606
- NPI assigned
- Dec 21, 2011
- Last updated
- Dec 21, 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
- Miss Srilatha Anumasu
- Title
- Pharmacist
- Phone
- (386) 586-3830
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PS38551 | FL | Primary |
Addresses
Primary practice location
5000 E Highway 100
Palm Coast, FL 32164-2363
Mailing address
5000 E Highway 100
Palm Coast, FL 32164-2363
Phone (386) 586-3830
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Walgreens #7755 | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
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
5000 State Highway 100 E
Palm Coast, FL 32164
Phone (386) 586-2569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1114296050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 E HIGHWAY 100",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642363",
"telephone_number": "386-586-3830",
"fax_number": "386-586-5606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 E HIGHWAY 100",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321642363",
"telephone_number": "386-586-3830",
"fax_number": "386-586-5606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "ANUMASU",
"authorized_official_first_name": "SRILATHA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "386-586-3830",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "FL",
"license": "PS38551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.