Organization Active NPI

Walgreens Pharmacy

  • Pharmacist
  • Gulf Breeze, FL
National Provider Identifier
1699045575
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS22858 Issued in FL
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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)CodeLicenseStatePrimary
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 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

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.

Verify at the official NPI Registry.