Active NPI
Walgreen Co
- Pharmacist
- Bowie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23815
- Legal business name
- WALGREEN CO
- Practice address
- 15990 Annapolis Rd
Bowie, MD 20715-3041 - Phone
- (301) 325-2340
- Fax
- (301) 352-7407
- NPI assigned
- Dec 30, 2015
- Last updated
- Dec 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roman Kruglyanskiy
- Title
- Pharmacy Manager
- Phone
- (301) 352-2340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23815 | MD | Primary |
Addresses
Primary practice location
15990 Annapolis Rd
Bowie, MD 20715-3041
Mailing address
15990 Annapolis Rd
Bowie, MD 20715-3041
Phone (301) 325-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2136011 | Other | MD | NABP |
National Provider Directory
National Provider Directory- Tax ID family
- Walgreen Co
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Bowie, MD
- NPI 1871965210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451433600000",
"number": "1265897524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15990 ANNAPOLIS RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207153041",
"telephone_number": "301-325-2340",
"fax_number": "301-352-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15990 ANNAPOLIS RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207153041",
"telephone_number": "301-325-2340",
"fax_number": "301-352-7407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A",
"authorized_official_last_name": "KRUGLYANSKIY",
"authorized_official_first_name": "ROMAN",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "301-352-2340"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "MD",
"license": "23815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2136011",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.