Active NPI
Walgreens
- Community Health Clinic/Center
- San Diego, CA
National Provider Identifier
1306386073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- License
- 52947
- Legal business name
- WALGREENS
- Practice address
- 10787 Camino Ruiz
San Diego, CA 92126-2304 - Phone
- (858) 437-0762
- NPI assigned
- Mar 1, 2017
- Last updated
- Mar 1, 2017
- 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
- Sophie Genicot
- Title
- District Manager
- Phone
- (858) 647-4847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 52947 | CA | Primary |
Addresses
Primary practice location
10787 Camino Ruiz
San Diego, CA 92126-2304
Mailing address
4152 32ND St
Apt 11
San Diego, CA 92104-2032
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
10787 Camino Ruiz
San Diego, CA 92126
Phone (858) 437-0761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488326400000",
"number": "1306386073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4152 32ND ST",
"address_2": "APT 11",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10787 CAMINO RUIZ",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921262304",
"telephone_number": "858-437-0762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A",
"authorized_official_last_name": "GENICOT",
"authorized_official_first_name": "SOPHIE",
"authorized_official_title_or_position": "DISTRICT MANAGER",
"authorized_official_telephone_number": "858-647-4847"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "CA",
"license": "52947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.