Organization Active NPI

Walgreens

  • Community/Retail Pharmacy
  • Boaz, AL
National Provider Identifier
1194093575
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
112996 Issued in AL
Legal business name
WALGREENS
Practice address
920 US Highway 431
Boaz, AL 35957-1732
Phone
(256) 593-6090
Fax
(256) 593-7445
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Ms. Sylvia Christine Wilks
Title
CPHT
Phone
(256) 593-6092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 112996 AL Primary

Addresses

Primary practice location

920 US Highway 431
Boaz, AL 35957-1732

Mailing address

161 Friendship Rd
Boaz, AL 35957-4675
Phone (256) 593-0080

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1194093575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 FRIENDSHIP RD",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359574675",
            "telephone_number": "256-593-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571732",
            "telephone_number": "256-593-6090",
            "fax_number": "256-593-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "WILKS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "CPHT",
        "authorized_official_telephone_number": "256-593-6092",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "112996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.