Organization Active NPI

Walgreens

  • Community Health Clinic/Center
  • Trenton, OH
National Provider Identifier
1134498942
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
03315609 Issued in OH
Legal business name
WALGREENS
Practice address
1001 W State St
Trenton, OH 45067-1585
Phone
(513) 737-3504
NPI assigned
Dec 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mr. Mark Stephen McCall
Title
Pharmacist
Phone
(937) 478-5506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 03315609 OH Primary
Point of Service 305S00000X 03315609 OH

Addresses

Primary practice location

1001 W State St
Trenton, OH 45067-1585

Mailing address

1663 Old State Route 122
Lebanon, OH 45036-9499
Phone (937) 478-5506

Other names 1

  • Walgreens Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1134498942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 OLD STATE ROUTE 122",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450369499",
            "telephone_number": "937-478-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W STATE ST",
            "city": "TRENTON",
            "state": "OH",
            "postal_code": "450671585",
            "telephone_number": "513-737-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "937-478-5506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OH",
            "license": "03315609",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OH",
            "license": "03315609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Trenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.