Active NPI
Walgreens Pharmacy
- Department of Veterans Affairs (VA) Pharmacy
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Department of Veterans Affairs (VA) Pharmacy
- Legal business name
- WALGREENS PHARMACY
- Practice address
- 12345 Saint Charles Rock Rd
Bridgeton, MO 63044-2505 - Phone
- (314) 770-2479
- NPI assigned
- Jun 25, 2015
- Last updated
- Jun 25, 2015
- 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
- Mrs. Angela Johnson, PHARMD
- Title
- Pharmacy Manager
- Phone
- (314) 770-2479
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Department of Veterans Affairs (VA) Pharmacy | 332100000X | Primary |
Addresses
Primary practice location
12345 Saint Charles Rock Rd
Bridgeton, MO 63044-2505
Mailing address
12345 Saint Charles Rock Rd
Bridgeton, MO 63044-2505
Phone (314) 770-2479
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.
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.
-
- Pharmacist
- Bridgeton, MO
- NPI 1164706925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435190400000",
"number": "1366824351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12345 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442505",
"telephone_number": "314-770-2479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12345 SAINT CHARLES ROCK RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442505",
"telephone_number": "314-770-2479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-25",
"last_updated": "2015-06-25",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "314-770-2479",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "332100000X",
"taxonomy_group": "",
"desc": "Department of Veterans Affairs (VA) Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
- Wal-Mart Stores East LP (Wal-Mart Vision Center 30-1188)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1188)
- Jessica Renee Waldrop, B.A.
- Walgreen Co (Walgreens #06492)
- Walgreen Co (Walgreens #02501)
- Valerie O Walker, M.D.
- Christopher Waller
- Alyssa Walters, MOT, OTR/L
- Kongkeo Thiky Walther, ANP
- William Wang, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.