Organization Active NPI

Walgreens Pharmacy

  • Pharmacy
  • San Diego, CA
National Provider Identifier
1730461633
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
60403 Issued in CA
Legal business name
WALGREENS PHARMACY
Practice address
8766 Navajo Rd
San Diego, CA 92119-2722
Phone
(619) 667-8764
Fax
(619) 667-1208
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
WALGREENSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Mrs. Srisuda C Reimer, RPHNPI 1639453624
Title
Registered Pharmacist
Phone
(858) 569-1151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 60403 CA Primary

Addresses

Primary practice location

8766 Navajo Rd
San Diego, CA 92119-2722

Mailing address

8766 Navajo Rd
San Diego, CA 92119-2722
Phone (619) 667-8764

National Provider Directory

National Provider Directory
Part of
Walgreens 01007

Locations

8766 Navajo Rd
San Diego, CA 92119
Phone (619) 667-8764

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1730461633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8766 NAVAJO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192722",
            "telephone_number": "619-667-8764",
            "fax_number": "619-667-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 NAVAJO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192722",
            "telephone_number": "619-667-8764",
            "fax_number": "619-667-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "REIMER",
        "authorized_official_first_name": "SRISUDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "858-569-1151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "60403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.