Active NPI
Walgreens
- Community Health Clinic/Center
- Trenton, OH
National Provider Identifier
1134498942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 03315609
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.