Active NPI
Walgreens
- Pharmacist
- Lewiston, ID
National Provider Identifier
1538562137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P6624
- Legal business name
- WALGREENS
- Practice address
- 2102 Nez Perce Dr
Lewiston, ID 83501-4116 - Phone
- (208) 743-4434
- NPI assigned
- Sep 27, 2014
- Last updated
- Sep 27, 2014
- 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
- Wendy Marie Geffe
- Title
- Pharmacist
- Phone
- (425) 765-2066
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6624 | ID | Primary |
| Pharmacist | 183500000X | PH 60184032 | WA |
Addresses
Primary practice location
2102 Nez Perce Dr
Lewiston, ID 83501-4116
Mailing address
2302 Busch Rd
Colton, WA 99113-9744
Phone (425) 765-2066
National Provider Directory
National Provider DirectoryLocations
2102 Nez Perce Dr
Lewiston, ID 83501
Phone (208) 743-4434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411776000000",
"number": "1538562137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 BUSCH RD",
"city": "COLTON",
"state": "WA",
"postal_code": "991139744",
"telephone_number": "425-765-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2102 NEZ PERCE DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014116",
"telephone_number": "208-743-4434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-27",
"last_updated": "2014-09-27",
"status": "A",
"authorized_official_last_name": "GEFFE",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "425-765-2066"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "ID",
"license": "P6624",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 60184032",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.