Walgreens

Primary specialty

PharmacyTaxonomy code 333600000X

License

051040530 Issued in IL

Legal business name

WALGREENS

Practice address

12700 Rockland Rd
Lake Bluff, IL 60044-1420

Phone

(847) 615-2088

NPI assigned

Oct 17, 2011

Organization subpart

No

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

Authorized official

Name

Milka Raic, PHARM D

Title

Pharmacist

Phone

(847) 615-2088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1376828798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 W ROCKLAND",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "60044",
            "telephone_number": "847-615-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 ROCKLAND RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441420",
            "telephone_number": "847-615-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "RAIC",
        "authorized_official_first_name": "MILKA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "847-615-2088",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "051040530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kae Volkov, BCBA
• Robert G Vottero, MD
• Jason Bohm Waldinger, M.D.
• Walgreen Co
• Walgreen Co.
• Suzanne Schulze Walker, LCPC, CADC
• Susan Watts
• Anne M Weisblatt, LCSW
• Weiss Memorial Hospital
• Kelsey Welzen

• Pharmacy in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.