Walgreens

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS19973 Issued in FL

Legal business name

WALGREENS

Practice address

524 Jefferson Ave
Miami Beach, FL 33139-6303

Phone

(305) 531-7688

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Bob E Becker, RPH

Title

Pharmacist

Phone

(305) 322-4710

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1194094011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 VENETIAN WAY APT 2A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331391067",
            "telephone_number": "305-322-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 JEFFERSON AVE",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331396303",
            "telephone_number": "305-531-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "305-322-4710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS19973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BIMINI777",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05198)
• Walgreen Co (Walgreens #13162)
• Walgreen Co (Walgreens #12463)
• Walgreen Co (Walgreens #01924)
• Walgreen Co (Walgreens #10983)
• Clark G Wang, M.D.
• Warren K Gross OD PA
• Lesley Anne Warren, D.P.M.
• Nicole Lynn Warren, DO
• Jessica Waserstein, DO

• Pharmacist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.