Walgreens

Primary specialty

PharmacistTaxonomy code 183500000X

License

0011211 Issued in OR

Legal business name

WALGREENS

Practice address

1950 NE Burnside Rd
Gresham, OR 97030-7949

Phone

(503) 674-8482

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Thuy-Duong Le, PHARM.D

Title

Pharmacist

Phone

(503) 674-8482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1518276930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NE BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 NE BURNSIDE RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307949",
            "telephone_number": "503-674-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "THUY-DUONG",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "503-674-8482",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0011211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Elisabeth Walden
• Evelyn Marie Waldon, RN
• Walgreen Co (Walgreens #03817)
• Walgreen Co (Walgreens #11398)
• Walgreen Co (Walgreens #03838)
• Chanel Walker-Harris, LPC
• Heather M Walker, QMHA
• Samantha Walker, LMT
• Tara Joelle Walker, QMHP, MS
• Thomas R Walker, PTA

• Pharmacist in Gresham, OR
• Providers in Gresham, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.