Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5302024455 Issued in MI

Legal business name

WALGREENS

Practice address

7380 Orchard Lake Rd
West Bloomfield, MI 48322-3621

Phone

(248) 538-8373

NPI assigned

Mar 2, 2015

Last updated

Mar 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Ryckman, R.PH.

Title

Staff Pharmacist

Phone

(248) 538-8373

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1154713907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223621",
            "telephone_number": "248-538-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7380 ORCHARD LAKE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223621",
            "telephone_number": "248-538-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "RYCKMAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "248-538-8373",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5302024455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Wald
• Linda Waldman, MD
• Keith Thomas Waldrup, PT, DPT
• Walgreen Co (Walgreens #07094)
• Walgreen Co (Walgreens #04864)
• Walgreens
• Ancilla Walker, PT
• Rhonda Lanette Walker, MPT
• Yolander Rena Walker, REGISTERED NURSE
• Jennifer Wallace

• Community/Retail Pharmacy in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.