Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0202204450 Issued in VA

Legal business name

WALGREENS

Practice address

700 Frederick Blvd
Portsmouth, VA 23707-3314

Phone

(757) 391-9123

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Jeff Vanschaack, BS

Title

Pharmacist

Phone

(757) 472-8580

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1790055945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 KINGSBURY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233224264",
            "telephone_number": "757-472-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073314",
            "telephone_number": "757-391-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "VANSCHAACK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "757-472-8580",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0202204450",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "14803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Delaney Walden
• Walgreen Co
• Walgreen Co
• Walgreen'S Pharmacy
• Brian Thomas Walker, RN
• Carol Lee Walker, D.M.D.
• Christopher Michael Walker, RN
• Dartangion Pierre Walker
• Dasha K Walker

• Community/Retail Pharmacy in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.