Walgreens

Primary specialty

PharmacyTaxonomy code 333600000X

License

1831104041 Issued in IL

Legal business name

WALGREENS

Practice address

1710 W Deyoung St
Marion, IL 62959-1054

Phone

(618) 998-1603

NPI assigned

Sep 26, 2011

Organization subpart

No

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

Authorized official

Name

Hilary D Brown, PHARMD

Title

Pharmacy Manager

Phone

(618) 998-1603

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1699058644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591054",
            "telephone_number": "618-998-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W DEYOUNG ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591054",
            "telephone_number": "618-998-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "HILARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "618-998-1603",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "1831104041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Wade, BS
• Wal-Mart Stores, Inc.
• Oma Nadean Waldron, PHD,RD
• Walgreen Co
• Walgreen Co.
• Alexis Walker
• Brianna Waller, MS
• Walmart Inc.
• Drew Ashton Walsh, LPN
• Donna R Walters, CNM

• Pharmacy in Marion, IL
• Providers in Marion, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.