Organization Active NPI

Walgreens

  • Pharmacist
  • Valdosta, GA
National Provider Identifier
1659610384
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
009171 Issued in GA
Legal business name
WALGREENS
Practice address
1800 Baytree Rd
Valdosta, GA 31602-3552
Phone
(229) 242-3212
Fax
(229) 242-7842
NPI assigned
Jan 31, 2013
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Mr. William R MaddoxNPI 1871832121
Title
Pharmacist
Phone
(229) 630-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 009171 GA Primary

Addresses

Primary practice location

1800 Baytree Rd
Valdosta, GA 31602-3552

Mailing address

1800 Baytree Rd
Valdosta, GA 31602-3552
Phone (229) 242-3212

National Provider Directory

National Provider Directory
Tax ID family
Walgreen Co8,683 organizations share this tax ID, including this one

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.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1659610384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BAYTREE RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023552",
            "telephone_number": "229-242-3212",
            "fax_number": "229-242-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BAYTREE RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316023552",
            "telephone_number": "229-242-3212",
            "fax_number": "229-242-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "229-630-0002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "009171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.