Active NPI
Walgreens
- Pharmacist
- Westworth Village, TX
National Provider Identifier
1558611897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52182
- Legal business name
- WALGREENS
- Practice address
- 5716 Aton Ave
Westworth Village, TX 76114 - Phone
- (614) 584-6965
- NPI assigned
- Sep 13, 2012
- Last updated
- Sep 13, 2012
- 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
- Ada Vandyke, PHARMD
- Title
- Staff Pharmacist
- Phone
- (614) 584-6965
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 52182 | TX | Primary |
Addresses
Primary practice location
5716 Aton Ave
Westworth Village, TX 76114
Mailing address
3809 E Belknap
Fort Worth, TX 76111
Phone (817) 834-7283
National Provider Directory
National Provider Directory- Tax ID family
- Walgreen Co
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.
-
- Pharmacy
- Grand Prairie, TX
- NPI 1568409951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347494400000",
"number": "1558611897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 E BELKNAP",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76111",
"telephone_number": "817-834-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5716 ATON AVE",
"city": "WESTWORTH VILLAGE",
"state": "TX",
"postal_code": "76114",
"telephone_number": "614-584-6965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-13",
"last_updated": "2012-09-13",
"status": "A",
"authorized_official_last_name": "VANDYKE",
"authorized_official_first_name": "ADA",
"authorized_official_title_or_position": "STAFF PHARMACIST",
"authorized_official_telephone_number": "614-584-6965",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "52182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westworth Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.