Organization Active NPI

Walgreens

  • Community/Retail Pharmacy
  • San Jose, CA
National Provider Identifier
1770860041
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50012 Issued in CA
Legal business name
WALGREENS
Practice address
1661 McKee Rd
San Jose, CA 95116-1236
Phone
(408) 347-1404
Fax
(408) 347-1537
NPI assigned
Nov 14, 2011
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Miss Lianne Mach-Dao
Title
Pharmacist
Phone
(408) 206-4283

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50012 CA
Community/Retail Pharmacy 3336C0003X 50012 CA Primary

Addresses

Primary practice location

1661 McKee Rd
San Jose, CA 95116-1236

Mailing address

1661 McKee Rd
San Jose, CA 95116-1236
Phone (408) 347-1404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1770860041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161236",
            "telephone_number": "408-347-1404",
            "fax_number": "408-347-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 MCKEE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161236",
            "telephone_number": "408-347-1404",
            "fax_number": "408-347-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "MACH-DAO",
        "authorized_official_first_name": "LIANNE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "408-206-4283",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "50012",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.