NPIMap

Organization Active NPI

Walgreens 1261-2

Doing business as Walgreens

  • Pharmacy
  • Orlando, FL
National Provider Identifier
1184100513
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
26812 Issued in FL
Legal business name
WALGREENS 1261-2
Doing business as
Walgreens
Walgreens Centralized Services Site Operations
Practice address
8325 Southpark Cir Ste 200
Orlando, FL 32819-9075
Phone
(407) 345-7155
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
WALGREENSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Wanda Annette Dagher, BSPHARMNPI 1225514631
Title
Pharmacist-in-Charge
Phone
(407) 345-7155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 26812 FL Primary

Addresses

Primary practice location

8325 Southpark Cir Ste 200
Orlando, FL 32819-9075

Mailing address

8325 Southpark Cir Ste 200
Orlando, FL 32819-9075
Phone (407) 345-7155

Other identifiers 1

IdentifierTypeStateIssuer
26812OtherFLFL BOARD OF PHARMACY LICENSE

Other names 2

  • Walgreens Doing business as
  • Walgreens Centralized Services Site Operations Doing business as

National Provider Directory

National Provider Directory
Part of
Walgreens 1261-2

Locations

8325 Southpark Cir
Ste 200
Orlando, FL 32819
Phone (407) 345-7141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1184100513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 SOUTHPARK CIR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199075",
            "telephone_number": "407-345-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 SOUTHPARK CIR STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199075",
            "telephone_number": "407-345-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS 1261-2",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "DAGHER",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "407-345-7155",
        "authorized_official_credential": "BSPHARM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "26812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BOARD OF PHARMACY LICENSE",
            "identifier": "26812",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walgreens Centralized Services Site Operations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.