Walgreens Co.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

061846 Issued in NY

Legal business name

WALGREENS CO.

Practice address

12 E Jericho Tpke
Mineola, NY 11501-3141

Phone

(516) 739-2408

NPI assigned

Jul 28, 2016

Organization subpart

No

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

Authorized official

Name

Claudio Sousa Dematos, RPH

Title

Pharmacist

Phone

(516) 376-8780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1457804205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 ADLIN CT",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541656",
            "telephone_number": "516-376-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013141",
            "telephone_number": "516-739-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "DEMATOS",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_middle_name": "SOUSA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "516-376-8780",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "061846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Wahib, PHYSICIAN ASSISTANT
• Reese A Wain, MD
• Christina Michelle Wainer, PA
• Patricia Wakely-Altmann, RN
• Walgreen Co
• Emma Walker, MD,MPH
• Annie Wang
• Wai Man Wang, PHARMD
• Joshua Warner
• Danielle Kathlyn Watson

• Community/Retail Pharmacy in Mineola, NY
• Providers in Mineola, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.