NPIMap

Organization Active NPI

Walgreens

  • Community/Retail Pharmacy
  • Bradenton, FL
National Provider Identifier
1477834406
Registry record updated Sep 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PS38183 Issued in FL
Legal business name
WALGREENS
Practice address
4210 E State Road 64
Bradenton, FL 34208-9095
Phone
(941) 708-9161
Fax
(941) 708-9482
NPI assigned
Sep 4, 2011
Last updated
Sep 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2011

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

Authorized official

Name
Giau Thuy Le, PHARMDNPI 1407406291
Title
Pharmacist
Phone
(813) 716-6911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PS38183 FL Primary

Addresses

Primary practice location

4210 E State Road 64
Bradenton, FL 34208-9095

Mailing address

4210 E State Road 64
Bradenton, FL 34208-9095
Phone (941) 708-9161

National Provider Directory

National Provider Directory

Locations

4210 E State Road 64
Bradenton, FL 34208
Phone (941) 708-9161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1315094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315094400000",
    "number": "1477834406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089095",
            "telephone_number": "941-708-9161",
            "fax_number": "941-708-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089095",
            "telephone_number": "941-708-9161",
            "fax_number": "941-708-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-04",
        "last_updated": "2011-09-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "GIAU",
        "authorized_official_middle_name": "THUY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "813-716-6911",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS38183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.