NPIMap

Organization Active NPI

Walgreens

  • Pharmacist
  • Flower Mound, TX
National Provider Identifier
1679890396
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33504 Issued in TX
Legal business name
WALGREENS
Practice address
2908 Eastbourne LN
Flower Mound, TX 75022-0900
Phone
(972) 874-8496
Fax
(972) 874-8496
NPI assigned
Apr 21, 2010
Last updated
Apr 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Diem Khanh Nguyyen
Title
RPH
Phone
(972) 355-4831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33504 TX Primary

Addresses

Primary practice location

2908 Eastbourne LN
Flower Mound, TX 75022-0900

Mailing address

2050 Long Prairie Rd
Flower Mound, TX 75022-4221
Phone (972) 355-4831

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

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1679890396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224221",
            "telephone_number": "972-355-4831",
            "fax_number": "972-355-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 EASTBOURNE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750220900",
            "telephone_number": "972-874-8496",
            "fax_number": "972-874-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "NGUYYEN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_middle_name": "KHANH",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "972-355-4831"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "33504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.