Walgreens Pharmacy

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

PP7517 Issued in ID

Legal business name

WALGREENS PHARMACY

Practice address

10580 W Ustick Rd
Boise, ID 83704-5267

Phone

(208) 377-3581

NPI assigned

Jul 15, 2016

Organization subpart

No

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

Authorized official

Name

Shenell Pawer

Title

Manger

Phone

(208) 353-8026

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1205289121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045267",
            "telephone_number": "208-377-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045267",
            "telephone_number": "208-377-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "PAWER",
        "authorized_official_first_name": "SHENELL",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "208-353-8026"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": "PP7517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05565)
• Walgreen Co (Walgreens #05185)
• Walgreen Co (Walgreens #13776)
• Walgreen Co (Walgreens #04942)
• Walgreen Co (Walgreens #12123)
• Fatima Walizada
• Shahla Walizada, DO
• Fardin Walizay
• Walker Chiropractic Life Center, P.a.
• Walker Eyecare Associates PLLC

• Case Management Agency in Boise, ID
• Providers in Boise, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.