NPIMap

Organization Active NPI

Walgreens Pharmacy

  • Pharmacist
  • Modesto, CA
National Provider Identifier
1669757803
Registry record updated Nov 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
63605 Issued in CA
Legal business name
WALGREENS PHARMACY
Practice address
3019 Floyd Ave
Modesto, CA 95355-9604
Phone
(209) 551-4867
Fax
(209) 551-4873
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2017

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

Authorized official

Name
Tuyet Nguyen
Title
Pharmacist
Phone
(209) 551-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 63605 CA Primary

Addresses

Primary practice location

3019 Floyd Ave
Modesto, CA 95355-9604

Mailing address

3019 Floyd Ave
Modesto, CA 95355-9604
Phone (209) 551-4867

National Provider Directory

National Provider Directory
Tax ID family
Walgreen Co8,684 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

Locations

3019 Floyd Ave
Modesto, CA 95355
Phone (209) 551-4867

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1669757803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 FLOYD AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559604",
            "telephone_number": "209-551-4867",
            "fax_number": "209-551-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 FLOYD AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559604",
            "telephone_number": "209-551-4867",
            "fax_number": "209-551-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUYET",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "209-551-4867"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.