Organization Active NPI

Walgreens

  • Community/Retail Pharmacy
  • Bethpage, NY
National Provider Identifier
1295103869
Registry record updated Sep 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
060762 Issued in NY
Legal business name
WALGREENS
Practice address
4120 Hempstead Tpke
Bethpage, NY 11714-5600
Phone
(516) 520-8809
NPI assigned
Sep 12, 2015
Last updated
Sep 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2015

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

Authorized official

Name
Stefano Pessina
Title
Ceo
Phone
(800) 925-4733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 060762 NY Primary

Addresses

Primary practice location

4120 Hempstead Tpke
Bethpage, NY 11714-5600

Mailing address

24016 66TH Ave
Little Neck, NY 11362-1925
Phone (646) 369-2404

National Provider Directory

National Provider Directory

Locations

4120 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-8809

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1295103869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24016 66TH AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621925",
            "telephone_number": "646-369-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145600",
            "telephone_number": "516-520-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "PESSINA",
        "authorized_official_first_name": "STEFANO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-925-4733"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "060762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethpage, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.

Verify at the official NPI Registry.