NPIMap

Organization Active NPI

Walgreens Health Services LLC

Doing business as Walgreens Health

  • Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1326754169
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WALGREENS HEALTH SERVICES LLC
Doing business as
Walgreens Health
Practice address
600 Newark Ave
Elizabeth, NJ 07208-3539
Phone
(908) 353-7443
NPI assigned
Jan 25, 2023
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Sashidaran MoodleyNPI 1174885370
Title
Chief Medical Officer
Phone
(312) 982-1242

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

600 Newark Ave
Elizabeth, NJ 07208-3539

Mailing address

108 Wilmot Rd
Deerfield, IL 60015-5145

Other names 1

  • Walgreens Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2279005Walgreens Health Services, LLC600 Newark Ave, Elizabeth, NJ 07208Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Walgreens Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1326754169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WILMOT RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEWARK AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072083539",
            "telephone_number": "908-353-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "MOODLEY",
        "authorized_official_first_name": "SASHIDARAN",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "312-982-1242"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walgreens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.