Walgreens

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RPH027064 Issued in GA

Legal business name

WALGREENS

Practice address

390 S Main St
Swainsboro, GA 30401-3666

Phone

(478) 237-0788

NPI assigned

Apr 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Lamar Leslie, PHARM.D.

Title

Pharmacy Manager

Phone

(678) 472-2971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1750700753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013666",
            "telephone_number": "478-237-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013666",
            "telephone_number": "478-237-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "LESLIE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "678-472-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "RPH027064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jay Wagner, MD
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1024)
• Wal-Mart Stores East, LP (Vision Center 30-1024)
• Walgreen Co (Walgreens #11708)
• Walgreens
• Mary Waller, RN
• Somsak Wattanawanakul, M. D.
• Ginger Webb
• Courtney Anne Wells, LMT
• Michael Anthony Wells, R.PH.

• Primary Care Clinic/Center in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.