Active NPI
Walgreens
- Pharmacy Technician
- Bayonne, NJ
National Provider Identifier
1376828962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 28RW00210000
- Legal business name
- WALGREENS
- Practice address
- 699 Broadway
Bayonne, NJ 07002-4724 - Phone
- (201) 243-1800
- NPI assigned
- Oct 15, 2011
- 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
- Sam Soliman
- Title
- Pharmacy Technician
- Phone
- (201) 215-8214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 28RW00210000 | NJ | Primary |
Addresses
Primary practice location
699 Broadway
Bayonne, NJ 07002-4724
Mailing address
133 W 15TH St
2ND Floor
Bayonne, NJ 07002-1427
Phone (201) 215-8214
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318636800000",
"number": "1376828962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 W 15TH ST",
"address_2": "2ND FLOOR",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021427",
"telephone_number": "201-215-8214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "699 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024724",
"telephone_number": "201-243-1800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-15",
"last_updated": "2011-10-15",
"status": "A",
"authorized_official_last_name": "SOLIMAN",
"authorized_official_first_name": "SAM",
"authorized_official_title_or_position": "PHARMACY TECHNICIAN",
"authorized_official_telephone_number": "201-215-8214"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": "NJ",
"license": "28RW00210000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.