Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

56865 Issued in TX

Legal business name

WALGREENS

Practice address

4524 Tutbury CT
Amarillo, TX 79119-6514

Phone

(806) 290-0226

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Israel Gamboa, PHARM.D.

Title

Pharmacist in Charge

Phone

(806) 468-8616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1790140663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 TUTBURY CT",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4524 TUTBURY CT",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196514",
            "telephone_number": "806-290-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "806-468-8616",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "56865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Shelly Lynn Walker-Adams, M.D.
• Allison Irene Walker, PHARM D
• Andrea Walker
• Augusta Walker
• Brock Walker, MD

• Community/Retail Pharmacy in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.