NPIMap

Organization Active NPI

Walgreens

  • Pharmacist
  • Havana, FL
National Provider Identifier
1336556299
Registry record updated Jul 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS50737 Issued in FL
Legal business name
WALGREENS
Practice address
10 Yvonne CT
Havana, FL 32333-4986
Phone
(850) 896-1073
NPI assigned
Jul 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2014

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

Authorized official

Name
Dr. Harivadankumar Bhakta
Title
Pharmacist
Phone
(850) 896-1073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS50737 FL Primary

Addresses

Primary practice location

10 Yvonne CT
Havana, FL 32333-4986

Mailing address

10 Yvonne CT
Havana, FL 32333-4986
Phone (850) 896-1073

National Provider Directory

National Provider Directory
Tax ID family
Walgreen Co8,684 organizations share this tax ID, including this one

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405123200000",
    "number": "1336556299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 YVONNE CT",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323334986",
            "telephone_number": "850-896-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 YVONNE CT",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323334986",
            "telephone_number": "850-896-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-12",
        "last_updated": "2014-07-12",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "HARIVADANKUMAR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "850-896-1073",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2014; 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.