Active NPI
Walgreens
- Community/Retail Pharmacy
- Portage, MI
National Provider Identifier
1588048672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 5302042983
- Legal business name
- WALGREENS
- Practice address
- 5933 S Westnedge Ave
Portage, MI 49002-1455 - Phone
- (269) 381-4862
- NPI assigned
- Jul 17, 2015
- 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
- Robert Ersberger, RPH
- Title
- District Manager
- Phone
- (269) 271-7365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 5302042983 | MI | Primary |
Addresses
Primary practice location
5933 S Westnedge Ave
Portage, MI 49002-1455
Mailing address
5933 S Westnedge Ave
Portage, MI 49002-1455
Phone (269) 381-4862
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437091200000",
"number": "1588048672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5933 S WESTNEDGE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021455",
"telephone_number": "269-381-4862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5933 S WESTNEDGE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021455",
"telephone_number": "269-381-4862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2015-07-17",
"status": "A",
"authorized_official_last_name": "ERSBERGER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DISTRICT MANAGER",
"authorized_official_telephone_number": "269-271-7365",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MI",
"license": "5302042983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.