Active NPI
Walgreens Pharmacy
- Pharmacist
- Gulf Breeze, FL
National Provider Identifier
1699045575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS22858
- Legal business name
- WALGREENS PHARMACY
- Practice address
- 1459 Tiger Park LN
Gulf Breeze, FL 32563-5720 - Phone
- (850) 916-1955
- NPI assigned
- Jan 9, 2012
- Last updated
- Jan 9, 2012
- 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
- Jeff Rowland, R.PH.
- Title
- Pharmacy Supervisor
- Phone
- (850) 477-8357
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10993 | AL | |
| Pharmacist | 183500000X | PS22858 | FL | Primary |
Addresses
Primary practice location
1459 Tiger Park LN
Gulf Breeze, FL 32563-5720
Mailing address
1459 Tiger Park LN
Gulf Breeze, FL 32563-5720
Phone (850) 916-1955
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
1459 Tiger Park Ln
Gulf Breeze, FL 32563
Phone (850) 916-1955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326067200000",
"number": "1699045575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 TIGER PARK LN",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325635720",
"telephone_number": "850-916-1955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 TIGER PARK LN",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325635720",
"telephone_number": "850-916-1955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A",
"authorized_official_last_name": "ROWLAND",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "PHARMACY SUPERVISOR",
"authorized_official_telephone_number": "850-477-8357",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10993",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.