Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALGREENS

Practice address

101 N Main St
Goodlettsville, TN 37072-1513

Phone

(615) 851-7115

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Matthew DickersonNPI 1710568837

Title

Pharmacist

Phone

(770) 778-0909

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Dickerson

  • Pharmacist
  • Portland, TN
  • NPI 1710568837
  NPD Authorized official

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1164034302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MAIN ST",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721513",
            "telephone_number": "615-851-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "770-778-0909"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janice Yvonne Walker
• Cathryn M. Wall, DDS
• Walter L. Choate, O.D.
• Stephanie Waters, RN
• David Reed Watts, M.D.

• Community/Retail Pharmacy in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.