Organization Active NPI

Walgreens

  • Preferred Provider Organization
  • Fairlawn, OH
National Provider Identifier
1750650925
Registry record updated Dec 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
03321689 Issued in OH
Legal business name
WALGREENS
Practice address
3009 W Market St
Fairlawn, OH 44333-3610
Phone
(330) 867-1946
NPI assigned
Dec 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2011

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

Authorized official

Name
Anne M Beyman
Title
R.PN
Phone
(330) 867-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 03321689 OH Primary

Addresses

Primary practice location

3009 W Market St
Fairlawn, OH 44333-3610

Mailing address

3009 W Market St
Fairlawn, OH 44333-3610
Phone (330) 867-1946

National Provider Directory

National Provider Directory

Locations

3009 W Market St
Fairlawn, OH 44333
Phone (330) 867-1946

NPI Registry JSON

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324166400000",
    "number": "1750650925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333610",
            "telephone_number": "330-867-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 W MARKET ST",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333610",
            "telephone_number": "330-867-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-18",
        "last_updated": "2011-12-18",
        "status": "A",
        "authorized_official_last_name": "BEYMAN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "R.PN",
        "authorized_official_telephone_number": "330-867-1946"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "03321689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.