NPIMap

Organization Active NPI

Walgreens

  • Pharmacist
  • Chicago, IL
National Provider Identifier
1144598194
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.293635 Issued in IL
Legal business name
WALGREENS
Practice address
10620 S Halsted St
Chicago, IL 60628-2310
Phone
(773) 238-2289
NPI assigned
Dec 6, 2011
Last updated
Dec 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Everette Redwell
Title
Phamacy Manager
Phone
(773) 238-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.293635 IL Primary

Addresses

Primary practice location

10620 S Halsted St
Chicago, IL 60628-2310

Mailing address

10620 S Halsted St
Chicago, IL 60628-2310

National Provider Directory

National Provider Directory
Tax ID family
Bond Drug Company of Illinois LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1144598194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606282310",
            "telephone_number": "773-238-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "REDWELL",
        "authorized_official_first_name": "EVERETTE",
        "authorized_official_title_or_position": "PHAMACY MANAGER",
        "authorized_official_telephone_number": "773-238-2289"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.