Walgreen

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WALGREEN

Practice address

4901 Spring St
Mount Pleasant, WI 53406-2901

Phone

(262) 886-9643

NPI assigned

Nov 22, 2011

Last updated

Mar 7, 2023By 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

Mahmoud Ribhi Alsharkawi

Title

Pharmacist

Phone

(414) 334-1080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194092932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062901",
            "telephone_number": "262-886-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 SPRING ST",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534062901",
            "telephone_number": "262-886-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ALSHARKAWI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "RIBHI",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "414-334-1080"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria-Gretchen Fabroa Wagner-Richardson, RN
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2668)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5695)
• Brian Joseph Waldau, D.M.D.
• Sandra Lynn Waldvogel, COTA
• Walgreen Co (Walgreens #09606)
• Walgreen Co (Walgreens #05417)
• Terri Lee Wallow, SACIT
• James M Waltenberger, MD
• Patricia Ann Walther, RPH

• Community/Retail Pharmacy in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Community/Retail Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.