Organization Active NPI

Walgreens

  • Pharmacy
  • Conroe, TX
National Provider Identifier
1407116221
Registry record updated May 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
36701 Issued in TX
Legal business name
WALGREENS
Practice address
420 N Frazier St
Conroe, TX 77301-2882
Phone
(936) 494-0424
NPI assigned
May 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2012

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

Authorized official

Name
Michelle Farmer
Title
Pharmacey Supervisor
Phone
(936) 494-0424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 36701 TX Primary

Addresses

Primary practice location

420 N Frazier St
Conroe, TX 77301-2882

Mailing address

15 Red Sable PT
The Woodlands, TX 77380-2687
Phone (713) 837-6779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337990400000",
    "number": "1407116221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RED SABLE PT",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802687",
            "telephone_number": "713-837-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N FRAZIER ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012882",
            "telephone_number": "936-494-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-26",
        "last_updated": "2012-05-26",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PHARMACEY SUPERVISOR",
        "authorized_official_telephone_number": "936-494-0424"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "36701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2012; 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.