Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

KS1-14452 Issued in KS

Legal business name

WALGREENS

Practice address

440 N Andover Rd
Andover, KS 67002-9508

Phone

(316) 218-0819

NPI assigned

Sep 2, 2011

Last updated

Sep 2, 2011By 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

Jared Collette, PHARMD

Title

Pharmacist

Phone

(316) 218-0818

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1164703203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N ANDOVER RD",
            "city": "ANDOVER",
            "state": "KS",
            "postal_code": "670029508",
            "telephone_number": "316-218-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "COLLETTE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "316-218-0818",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "KS1-14452",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KS",
            "license": "KS1-14452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reesa Volgamore, PTA
• John Vonagher, LMSW-T
• Megan Waggoner, LMSW-T
• Salem Michelle Wagner, CRNA
• Walgreen Co (Walgreens #05840)
• Erika E Walker, LSCSW
• Brandy Lynn Wallace, COTA
• Richard Lee Watson Jr., MD
• Megen Watts
• Wayfinder LLC

• Community/Retail Pharmacy in Andover, KS
• Providers in Andover, KS by specialty
• Community/Retail Pharmacy in Kansas

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