Walgreens

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

51906 Issued in CA

Legal business name

WALGREENS

Practice address

8044 Limonite Ave
Riverside, CA 92509-6107

Phone

(951) 685-0139

Fax

(951) 685-0154

NPI assigned

Dec 3, 2011

Organization subpart

No

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

Authorized official

Name

Greg Wasson

Title

Ceo

Phone

(951) 685-0139

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322870400000",
    "number": "1386912418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8044 LIMONITE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8044 LIMONITE AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925096107",
            "telephone_number": "951-685-0139",
            "fax_number": "951-685-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-685-0139"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "51906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreens
• Jaswinder Kaur Walia, M.D.
• Thon Leslie Walker-Morrison, C.A.D.C II
• Brandi Michelle Walker
• Denise Beiting Walker

• Point of Service in Riverside, CA
• Providers in Riverside, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.