Active NPI
Walgreens Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
National Provider Identifier
1700199585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0000004043
- Legal business name
- WALGREENS PHARMACY
- Practice address
- 3502 Summer Ave
Memphis, TN 38122-3628 - Phone
- (901) 327-4483
- NPI assigned
- Jul 21, 2010
- Last updated
- Jul 21, 2010
- 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
- Dr. Dianne Lodge, PHARMACIST
- Title
- Pharmacy Manager
- Phone
- (901) 327-4483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 0000004043 | TN | Primary |
Addresses
Primary practice location
3502 Summer Ave
Memphis, TN 38122-3628
Mailing address
3502 Summer Ave
Memphis, TN 38122-3628
Phone (901) 327-4483
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1700199585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 SUMMER AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381223628",
"telephone_number": "901-327-4483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 SUMMER AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381223628",
"telephone_number": "901-327-4483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "LODGE",
"authorized_official_first_name": "DIANNE",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "901-327-4483",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TN",
"license": "0000004043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.