Active NPI
Walgreens
- Pharmacist
- Odessa, TX
National Provider Identifier
1598196347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54207
- Legal business name
- WALGREENS
- Practice address
- 801 Maple Ave
Odessa, TX 79761-2807 - Phone
- (432) 337-6637
- NPI assigned
- Dec 4, 2013
- Last updated
- Dec 4, 2013
- 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
- Mr. Gregory D. Wasson
- Title
- Ceo
- Phone
- (847) 315-8025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54207 | TX | Primary |
Addresses
Primary practice location
801 Maple Ave
Odessa, TX 79761-2807
Mailing address
801 Maple Ave
Odessa, TX 79761-2807
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.
Locations
801 Maple Ave
Odessa, TX 79761
Phone (432) 337-6637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386115200000",
"number": "1598196347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MAPLE AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797612807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MAPLE AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797612807",
"telephone_number": "432-337-6637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-04",
"last_updated": "2013-12-04",
"status": "A",
"authorized_official_last_name": "WASSON",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "18473158025",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "54207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
- Wal-Mart Stores Texas, LP (Vision Center 30-0537)
- Walgreen Co (Walgreens #06694)
- Walgreen Co (Walgreens #06715)
- Walgreen Co (Walgreens #15141)
- Walgreen Co (Walgreens #07024)
- Melanie Ann Wall-Trotter, LOT
- Cynthia Jean Wall, PSY.D.
- Vik Wall, MD
- Cristina Marie Wallace Huff, M.D.
- Harold Wayne Wallace, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.