Organization Active NPI

Walgreens

  • Pharmacist
  • Cary, NC
National Provider Identifier
1710212121
Registry record updated Oct 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18628 Issued in NC
Legal business name
WALGREENS
Practice address
8010 Tryon Woods Dr
Cary, NC 27518-7157
Phone
(919) 851-6686
NPI assigned
Oct 3, 2009
Last updated
Oct 3, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2009

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

Authorized official

Name
Jason Rubin
Title
Pharmacy Supervisor
Phone
(919) 460-3967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 18628 NC Primary

Addresses

Primary practice location

8010 Tryon Woods Dr
Cary, NC 27518-7157

Mailing address

8010 Tryon Woods Dr
Cary, NC 27518-7157
Phone (919) 851-6686

Other identifiers 1

IdentifierTypeStateIssuer
0920164MedicaidNC

National Provider Directory

National Provider Directory

Locations

8010 Tryon Woods Dr
Cary, NC 27518
Phone (919) 851-6686

NPI Registry JSON

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

{
    "created_epoch": "1254528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254528000000",
    "number": "1710212121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 TRYON WOODS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187157",
            "telephone_number": "919-851-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 TRYON WOODS DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187157",
            "telephone_number": "919-851-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-03",
        "last_updated": "2009-10-03",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "919-460-3967"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "18628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920164",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2009; 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.