Organization Active NPI

Walgreens

  • Pharmacy
  • Charleston, SC
National Provider Identifier
1134503261
Registry record updated Jul 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
36009 Issued in SC
Legal business name
WALGREENS
Practice address
333 Riverland Dr
Charleston, SC 29412-2345
Phone
(440) 773-2909
NPI assigned
Jul 18, 2015
Last updated
Jul 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2015

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

Authorized official

Name
Jaclyn Taylor
Title
Pharmacist
Phone
(440) 773-2909

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 36009 SC Primary
Pharmacy 333600000X 03233550 OH

Addresses

Primary practice location

333 Riverland Dr
Charleston, SC 29412-2345

Mailing address

333 Riverland Dr
Charleston, SC 29412-2345
Phone (440) 773-2909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437177600000",
    "number": "1134503261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 RIVERLAND DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122345",
            "telephone_number": "440-773-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 RIVERLAND DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122345",
            "telephone_number": "440-773-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "440-773-2909"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "SC",
            "license": "36009",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "03233550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2015; 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.