Walgreens

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

18790 Issued in NV

Legal business name

WALGREENS

Practice address

8500 W Cheyenne Ave
Las Vegas, NV 89129-7262

Phone

(702) 655-7258

Fax

(702) 655-7295

NPI assigned

Aug 12, 2014

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melvin Wang, PHARMD

Title

Pharmacy Manager

Phone

(702) 655-7258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1467861633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297262",
            "telephone_number": "702-655-7258",
            "fax_number": "702-655-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 W CHEYENNE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297262",
            "telephone_number": "702-655-7258",
            "fax_number": "702-655-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "702-655-7258",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NV",
            "license": "18790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #06311)
• Walgreen Co (Walgreens #03872)
• Walgreen Co. (Walgreens #10215)
• Walgreens
• Walgreens
• Walgreens
• Walgreens Pharmacy
• Walgreens Pharmacy
• Walgreens Pharmacy
• Parwana Wali

• Community Health Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.