NPIMap

Organization Active NPI

Walgreen's Pharmacy

  • Community/Retail Pharmacy
  • Toledo, OH
National Provider Identifier
1770864738
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
03212717 Issued in OH
Legal business name
WALGREEN'S PHARMACY
Practice address
4580 Monroe St
Toledo, OH 43613-4738
Phone
(419) 474-3915
Fax
(419) 474-6277
NPI assigned
Sep 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Connie Collins Nietz, PHARMACIST
Title
Pharmacist
Phone
(419) 474-3915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 03212717 OH Primary

Addresses

Primary practice location

4580 Monroe St
Toledo, OH 43613-4738

Mailing address

4580 Monroe St
Toledo, OH 43613-4738
Phone (419) 474-3915

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1770864738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134738",
            "telephone_number": "419-474-3915",
            "fax_number": "419-474-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134738",
            "telephone_number": "419-474-3915",
            "fax_number": "419-474-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "NIETZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "419-474-3915",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "03212717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.