Walgreens Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCT.0013159 Issued in CT

Legal business name

WALGREENS PHARMACY

Practice address

148 Eastern Blvd
Suite 4
Glastonbury, CT 06033-4321

Phone

(860) 657-9384

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Suzanne Tamer

Title

Pharmacy Supervisor

Phone

(860) 657-9384

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Led Bishop, PHARMD

  • Pharmacist
  • New Haven, CT
  • NPI 1174975197
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1437551892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 THOMAS RD",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705232",
            "telephone_number": "845-206-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EASTERN BLVD",
            "address_2": "SUITE 4",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334321",
            "telephone_number": "860-657-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "TAMER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "860-657-9384"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCT.0013159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waylee Lane Wagoner
• Mandy A Wainscoat, DO
• Iqra Walayat
• Walgreen Co (Walgreens #11533)
• Walgreen Co (Walgreens# 02228)
• Mary Jean Walker, APRN
• Brittany Bayne Wallace, CPNP
• Rachel Elyse Wallach, MD
• Brian R Wally, DPT
• Dawn Walsh

• Community/Retail Pharmacy in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.