Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RTP6913 Issued in FL

Legal business name

WALGREENS

Practice address

719 South State Road 19
Palatka, FL 32177

Phone

(386) 328-6787

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie Jeanne Corl

Title

Certified Pharmacy Technician

Phone

(941) 276-2003

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1285984963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 SOUTH STATE ROAD 19",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-328-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 SOUTH STATE ROAD 19",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "32177",
            "telephone_number": "386-328-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "CORL",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "CERTIFIED PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "941-276-2003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "RTP6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliet M Wadsworth, RPH
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Kathryn Lynn Walburn, LMHC
• Walgreen Co
• Walgreens
• Shonda Shanelle Waller, PHARM.D.
• Hannah Ward, PTA
• Nikiah Washington
• Rose Marie Watts, ARNP

• Community/Retail Pharmacy in Palatka, FL
• Providers in Palatka, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.