Walgreens

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

RPH023013 Issued in GA

Legal business name

WALGREENS

Practice address

804 N Tibbs Rd Apt 42
Dalton, GA 30720-2952

Phone

(240) 723-2375

NPI assigned

Jul 4, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Nita R Patel, DPHARM

Title

Staff Pharmacist

Phone

(706) 428-9003

Specialties & licenses 1

Addresses

Other names 1

• Walgreens Former legal business name

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

{
    "created_epoch": "1278201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278201600000",
    "number": "1235441494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N TIBBS RD APT 42",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N TIBBS RD APT 42",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202952",
            "telephone_number": "240-723-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-04",
        "last_updated": "2010-07-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "706-428-9003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPHARM"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "RPH023013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Wal-Mart Stores East, LP (Vision Center 30-0669)
• Diana Godwin Waldrep, SLP
• Walgreen Co (Walgreens #17232)
• Walgreen Co (Walgreens #11994)
• Walgreen Co (Walgreens #05954)
• Katie Walker, LCSW
• Kenneth Edward Walker, PSY.D.
• Melissa Walker, M.ED., CCC-SLP
• Tracy Hodges Walker, DPT
• Sherry Annette Wallmarker, FNP-C

• Point of Service in Dalton, GA
• Providers in Dalton, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2010; 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.