Active NPI
Walgreens
- Community/Retail Pharmacy
- Minneapolis, MN
National Provider Identifier
1750831723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 123065
- Legal business name
- WALGREENS
- Practice address
- 2100 Lyndale Ave S
Minneapolis, MN 55405-3686 - Phone
- (612) 872-7808
- NPI assigned
- Oct 13, 2016
- Last updated
- Oct 13, 2016
- 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. Troy Porter
- Title
- Pharmacist
- Phone
- (636) 279-0175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 123065 | MN | Primary |
Addresses
Primary practice location
2100 Lyndale Ave S
Minneapolis, MN 55405-3686
Mailing address
2724 Grand Ave S
Apartment 2
Minneapolis, MN 55408-1407
Phone (636) 279-0175
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.
Locations
2100 Lyndale Ave S
Minneapolis, MN 55405
Phone (612) 872-7808
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.
-
- Pharmacist
- Minneapolis, MN
- NPI 1114811072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476316800000",
"number": "1750831723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 GRAND AVE S",
"address_2": "APARTMENT 2",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554081407",
"telephone_number": "636-279-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 LYNDALE AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554053686",
"telephone_number": "612-872-7808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREENS",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "TROY",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "636-279-0175",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "123065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
- Walgreen Co (Walgreens #16057)
- Walgreen Co (Walgreens #15982)
- Walgreen Co (Walgreens #16361)
- Walgreen Co (Walgreens #15983)
- Walgreen Co. (Walgreens Specialty Pharmacy #15309)
- Mischel B. Walgren, PHD
- Walk-in Clinic Inc. (Walk-in Clinic)
- David Walk, MD
- Walker Methodist Health Center, Inc.
- Walker Methodist Health Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.