Organization Active NPI

Walgreens

  • Pharmacist
  • Miami, FL
National Provider Identifier
1811279706
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS42653 Issued in FL
Legal business name
WALGREENS
Practice address
11398 Quail Roost Dr
Miami, FL 33157-6551
Phone
(305) 254-0323
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Miss Chanthakhone Douangdara, PHARMD
Title
Pharmacist
Phone
(305) 254-0323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS42653 FL Primary

Addresses

Primary practice location

11398 Quail Roost Dr
Miami, FL 33157-6551

Mailing address

11398 Quail Roost Dr
Miami, FL 33157-6551
Phone (305) 254-0323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1811279706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11398 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576551",
            "telephone_number": "305-254-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11398 QUAIL ROOST DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331576551",
            "telephone_number": "305-254-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "DOUANGDARA",
        "authorized_official_first_name": "CHANTHAKHONE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "305-254-0323",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.