Active NPI
Walgreens
- Pharmacist
- Portland, ME
National Provider Identifier
1396026258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4623
- Legal business name
- WALGREENS
- Practice address
- 127 Marginal Way
Portland, ME 04101-2470 - Phone
- (207) 771-5631
- Fax
- (207) 771-5645
- NPI assigned
- Sep 6, 2011
- Last updated
- Sep 6, 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
- Mrs. Lisa Anne Crawford-Spencer, R.PH,R.N.
- Title
- Pharmacy Manager
- Phone
- (207) 771-5631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4623 | ME | Primary |
Addresses
Primary practice location
127 Marginal Way
Portland, ME 04101-2470
Mailing address
127 Marginal Way
Portland, ME 04101-2470
Phone (207) 771-5631
National Provider Directory
National Provider Directory- Tax ID family
- Walgreens Pharmacy 2567
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.
Locations
127 Marginal Way
Portland, ME 04101
Phone (207) 771-5631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315267200000",
"number": "1396026258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 MARGINAL WAY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012470",
"telephone_number": "207-771-5631",
"fax_number": "207-771-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 MARGINAL WAY",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041012470",
"telephone_number": "207-771-5631",
"fax_number": "207-771-5645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-06",
"last_updated": "2011-09-06",
"status": "A",
"authorized_official_last_name": "CRAWFORD-SPENCER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "207-771-5631",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.PH,R.N."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
- Walgreen Co (Rite Aid #19238)
- Walgreen Eastern Co Inc (Walgreens #11886)
- Walgreen Eastern Co Inc (Walgreens #19464)
- Walgreen Eastern Co Inc (Walgreens #12325)
- Walgreen Eastern Co Inc (Walgreens #19821)
- Walk in Peace
- Shelley Ann Walker Rosen, LCPC
- Bryan Louis Walker, M.D.
- Elizabeth Walker, MA
- John Walker, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.