Walgreens

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PS52470 Issued in FL

Legal business name

WALGREENS

Practice address

33670 US Highway 19 N
Palm Harbor, FL 34684-2640

Phone

(727) 785-7643

NPI assigned

Dec 23, 2014

Last updated

Dec 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Jerome, PHARMD

Title

Pharmacist

Phone

(407) 230-4972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1770971806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12672 SILVERDALE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336262510",
            "telephone_number": "407-230-4972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33670 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842640",
            "telephone_number": "727-785-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "JEROME",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "407-230-4972",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "PS52470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East LP (Walmart Pharmacy 10-1513)
• Walgreen Co (Walgreens #07931)
• Walgreen Co (Walgreens #01189)
• Walgreen Co (Walgreens #04124)
• Walgreen Co (Walgreens #12885)
• Walgreens
• Kelly Jean Walker, OTRL
• Thomas Walker
• Vanessa Walker
• Emily Walsh

• Clinic/Center in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.