Walgreens

Primary specialty

PharmacistTaxonomy code 183500000X

License

41094 Issued in MO

Legal business name

WALGREENS

Practice address

1155 E Saint Louis St
Springfield, MO 65806-2527

Phone

(417) 862-5302

NPI assigned

Sep 21, 2011

Last updated

Sep 21, 2011By 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

Kevin Wayne Gasper, RPH

Title

Pharmacy Manager

Phone

(417) 862-5392

Specialties & licenses 1

Addresses

Locations

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": "1528341948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 E SAINT LOUIS ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062527",
            "telephone_number": "417-862-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E SAINT LOUIS ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062527",
            "telephone_number": "417-862-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "GASPER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "417-862-5392",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "41094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #03690)
• Walgreen Co (Walgreens #04989)
• Walgreen Co (Walgreens Specialty Pharmacy #16534)
• Walgreen Co (Walgreens #16250)
• Walgreens
• Walgreens
• Ashton M Walker, FNP-BC
• Deborah L Walker, PSY.D. LP
• Dwayne R Walker, MSW, LCSW
• Jennifer Walker, LCSW

• Pharmacist in Springfield, MO
• Providers in Springfield, MO by specialty
• Pharmacist in Missouri

• 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.

Verify at the official NPI Registry.