Walgreens

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

051292802 Issued in IL

Legal business name

WALGREENS

Practice address

3019 W Peterson Ave
Chicago, IL 60659-3726

Phone

(773) 728-6254

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Lauren Moja

Title

Pharmacist

Phone

(773) 728-6254

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1699050641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 N LINCOLN AVE",
            "address_2": "APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147799",
            "telephone_number": "217-494-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593726",
            "telephone_number": "773-728-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "MOJA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "773-728-6254"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "IL",
            "license": "051292802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreens
• Walgreens
• Walgreens
• Walgreens
• Walgreens
• Walgreens
• Walgreens
• Eisha Wali, M.D.
• Hemank Walia, MD
• Julianne Ruth Walia, PA-C

• Community Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.