Walgreens

Primary specialty

PharmacistTaxonomy code 183500000X

License

058859 Issued in NY

Legal business name

WALGREENS

Practice address

402 N Main St
Elmira, NY 14901-2104

Phone

(607) 271-9480

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Aleksandr N Fesyuk

Title

Pharmacist

Phone

(607) 271-9480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1588094858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 AFFINITY LN",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161724",
            "telephone_number": "585-944-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N MAIN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012104",
            "telephone_number": "607-271-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "FESYUK",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "607-271-9480"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "058859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence John Waite, O.D.
• Wal-Mart Stores East, LP
• Camille Waldron
• Walgreen Co
• Walgreen Co
• Christine A. Walker, CNM
• Barbara Jean Wallace, LPN
• Julia B Wallace, LCSWR
• Sharon Wallace, RN
• Mary Wallis, LCSW

• Pharmacist in Elmira, NY
• Providers in Elmira, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.