NPIMap

Organization Active NPI

Walgreens Co.

  • Community/Retail Pharmacy
  • Charlotte, NC
National Provider Identifier
1245630706
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
24545 Issued in NC
Legal business name
WALGREENS CO.
Practice address
2720 South Blvd
Apt 122
Charlotte, NC 28209-0004
Phone
(631) 275-3889
NPI assigned
Sep 2, 2014
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Gregory William Rodzevik, PHARM. D
Title
Pharmacist
Phone
(631) 275-3889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 24545 NC Primary

Addresses

Primary practice location

2720 South Blvd
Apt 122
Charlotte, NC 28209-0004

Mailing address

2720 South Blvd
Apt 122
Charlotte, NC 28209-0004
Phone (631) 275-3889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1245630706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SOUTH BLVD",
            "address_2": "APT 122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282090004",
            "telephone_number": "631-275-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SOUTH BLVD",
            "address_2": "APT 122",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282090004",
            "telephone_number": "631-275-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "RODZEVIK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "631-275-3889",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "24545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.