Walgreens Drug Store

Primary specialty

PharmacistTaxonomy code 183500000X

License

26015312 Issued in IN

Legal business name

WALGREENS DRUG STORE

Practice address

5460 E Washington St
Indianapolis, IN 46219-6449

Phone

(317) 351-5973

Fax

(317) 351-8781

NPI assigned

Sep 21, 2011

Last updated

Sep 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Louks, RPH

Title

Pharmacy Manager

Phone

(317) 351-5973

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leah Berg, PHARMD

  • Pharmacist
  • Indianapolis, IN
  • NPI 1487936464
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1699058149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196449",
            "telephone_number": "317-351-5973",
            "fax_number": "317-351-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 E WASHINGTON ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462196449",
            "telephone_number": "317-351-5973",
            "fax_number": "317-351-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "LOUKS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "317-351-5973",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26015312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05718)
• Walgreen Co (Walgreens #07031)
• Walgreen Co (Walgreens #11248)
• Walgreen Co. (Walgreens #21399)
• Walgreens
• Richard Anthony Walgren, M.D., PH.D.
• Kareem Rami Wali
• Erin A Walia, PA
• Mary Waling
• Walk Rite Medical LLC

• Pharmacist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Pharmacist in Indiana

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