Active NPI
Walgreen Co
- Pharmacist
- Melbourne, FL
National Provider Identifier
1295276798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS66879
- Legal business name
- WALGREEN CO
- Practice address
- 975 S Babcock St
Melbourne, FL 32901-1852 - Phone
- (321) 723-4664
- NPI assigned
- Mar 16, 2017
- Last updated
- May 9, 2018
- 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
- Dr. Anh Tran Phan
- Title
- Pharmacist
- Phone
- (704) 491-7126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS66879 | FL | Primary |
Addresses
Primary practice location
975 S Babcock St
Melbourne, FL 32901-1852
Mailing address
975 S Babcock St
Melbourne, FL 32901-1852
Phone (321) 723-4664
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.
Locations
975 S Babcock St
Melbourne, FL 32901
Phone (321) 723-4664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525824000000",
"number": "1295276798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 S BABCOCK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011852",
"telephone_number": "321-723-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 S BABCOCK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329011852",
"telephone_number": "321-723-4664"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-16",
"last_updated": "2018-05-09",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "ANH",
"authorized_official_middle_name": "TRAN",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "704-491-7126",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS66879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
- Wal-Mart Stores East, LP (Vision Center 30-0974)
- Wal-Mart Stores East, LP (Vision Center 30-1702)
- Walden Psychological Services, LLC
- Joseph Walden, PSY. D.
- Walgreen Co (Walgreens #04259)
- Walgreen Co (Walgreens #5018)
- Walgreen Co (Walgreens #04193)
- Walgreen Co (Walgreens #07386)
- Walgreen Co (Walgreens #03080)
- Walgreen Co (Walgreens #05341)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.