Walgreens

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

0034556 Issued in FL

Legal business name

WALGREENS

Practice address

750 NW 119TH St
Miami, FL 33168-2335

Phone

(305) 685-9970

Fax

(305) 685-8318

NPI assigned

Oct 15, 2011

Last updated

Oct 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tenechia Smith, PHARMD

Title

Pharmacy Manager

Phone

(305) 685-9970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1669757167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NW 119TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682335",
            "telephone_number": "305-685-9970",
            "fax_number": "305-685-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW 119TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331682335",
            "telephone_number": "305-685-9970",
            "fax_number": "305-685-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TENECHIA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "305-685-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "0034556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #09206)
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• Walgreens
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• Harneet Kaur Walia, M.D
• Sonal Walia, MD
• Sisan Walker Angel

• Point of Service in Miami, FL
• Providers in Miami, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.