NPIMap

Organization Active NPI

Walgreens Pharmacy

  • Pharmacist
  • Brea, CA
National Provider Identifier
1528337516
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH39889 Issued in CA
Legal business name
WALGREENS PHARMACY
Practice address
1800 E Imperial Hwy Ste 150
Brea, CA 92821-6015
Phone
(714) 507-5706
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Mr. Robert Hyup Lee
Title
Pharmacy Supervisor
Phone
(714) 507-5706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X RPH39889 CA Primary

Addresses

Primary practice location

1800 E Imperial Hwy Ste 150
Brea, CA 92821-6015

Mailing address

1800 E Imperial Hwy Ste 150
Brea, CA 92821-6015
Phone (714) 507-5706

National Provider Directory

National Provider Directory
Tax ID family
Walgreen Co8,684 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1800 E Imperial Hwy
Ste 150
Brea, CA 92821
Phone (323) 614-0916

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1528337516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E IMPERIAL HWY STE 150",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216015",
            "telephone_number": "714-507-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E IMPERIAL HWY STE 150",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216015",
            "telephone_number": "714-507-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HYUP",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "714-507-5706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH39889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.