Organization Active NPI

Walgreens 4876

  • Community/Retail Pharmacy
  • Edison, NJ
National Provider Identifier
1356623920
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WALGREENS 4876
Practice address
905 New Durham Rd
Edison, NJ 08817-2253
Phone
(732) 287-3652
Fax
(732) 287-3877
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Mr. Richard John Szeliga, RPH
Title
Pharmacist
Phone
(732) 287-3652

Specialties & licenses 1

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

Addresses

Primary practice location

905 New Durham Rd
Edison, NJ 08817-2253

Mailing address

905 New Durham Rd
Edison, NJ 08817-2253
Phone (732) 287-3652

National Provider Directory

National Provider Directory

Locations

905 New Durham Rd
Edison, NJ 08817
Phone (732) 287-3652

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1356623920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 NEW DURHAM RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172253",
            "telephone_number": "732-287-3652",
            "fax_number": "732-287-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 NEW DURHAM RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172253",
            "telephone_number": "732-287-3652",
            "fax_number": "732-287-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS 4876",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "SZELIGA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "732-287-3652",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.