Walgreens

Primary specialty

PharmacyTaxonomy code 333600000X

License

RPT38478 Issued in FL

Legal business name

WALGREENS

Practice address

719 S State Road 19
Palatka, FL 32177-3946

Phone

(386) 328-6787

NPI assigned

Jul 1, 2012

Organization subpart

No

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

Authorized official

Name

Nicholas Nagle

Title

Store Manager

Phone

(386) 328-6787

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341100800000",
    "number": "1598029852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 S STATE ROAD 19",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 S STATE ROAD 19",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773946",
            "telephone_number": "386-328-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A",
        "authorized_official_last_name": "NAGLE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "386-328-6787"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "RPT38478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Kathryn Lynn Walburn, LMHC
• Walgreen Co
• Walgreens
• Shonda Shanelle Waller, PHARM.D.
• Hannah Ward, PTA
• Nikiah Washington
• Rose Marie Watts, ARNP
• Julia Loftus Weber, ARNP RNCS MSN

• Pharmacy in Palatka, FL
• Providers in Palatka, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.