NPIMap

Organization Active NPI

Walgreens Co.

  • Pharmacist
  • Henderson, NV
National Provider Identifier
1124423744
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18823 Issued in NV
Legal business name
WALGREENS CO.
Practice address
611 Mall Ring Cir
Henderson, NV 89014-6619
Phone
(702) 433-0144
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Kseniya Kozlova, PHARMD
Title
Pharmacist
Phone
(702) 547-6215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 18823 NV Primary

Addresses

Primary practice location

611 Mall Ring Cir
Henderson, NV 89014-6619

Mailing address

611 Mall Ring Cir
Henderson, NV 89014-6619
Phone (702) 433-0144

National Provider Directory

National Provider Directory

Locations

611 Mall Ring Cir
Henderson, NV 89014
Phone (702) 433-0144

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1124423744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MALL RING CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146619",
            "telephone_number": "702-433-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MALL RING CIR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890146619",
            "telephone_number": "702-433-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "KOZLOVA",
        "authorized_official_first_name": "KSENIYA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "702-547-6215",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "18823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.