Walgreens Pharmacy

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

1346431285 Issued in NE

Legal business name

WALGREENS PHARMACY

Practice address

533 S Lincoln Ave
York, NE 68467-4211

Phone

(402) 362-1280

Fax

(402) 362-1355

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Dave Dyer, PHARM-D

Title

Pharmacy Manager

Phone

(402) 362-1280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1528344280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684674211",
            "telephone_number": "402-362-1280",
            "fax_number": "402-362-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684674211",
            "telephone_number": "402-362-1280",
            "fax_number": "402-362-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "402-362-1280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM-D"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NE",
            "license": "1346431285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in York, NE
• Providers in York, NE by specialty
• Point of Service in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.