Active NPI
Walgreens
- Pharmacist
- San Francisco, CA
National Provider Identifier
1497038814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55155
- Legal business name
- WALGREENS
- Practice address
- 350 Broderick St Apt 310
San Francisco, CA 94117-2278 - Phone
- (415) 305-3704
- NPI assigned
- Sep 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Christina Song, PHARM D
- Title
- Pharmacy Manager
- Phone
- (415) 305-3704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55155 | CA | Primary |
Addresses
Primary practice location
350 Broderick St Apt 310
San Francisco, CA 94117-2278
Mailing address
350 Broderick St Apt 310
San Francisco, CA 94117-2278
Phone (415) 305-3704
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316563200000",
"number": "1497038814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BRODERICK ST APT 310",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172278",
"telephone_number": "415-305-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BRODERICK ST APT 310",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172278",
"telephone_number": "415-305-3704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "415-305-3704",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "55155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.