Organization Active NPI

Walgreens Boots Alliance

  • Community/Retail Pharmacy
  • Wauconda, IL
National Provider Identifier
1831978451
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WALGREENS BOOTS ALLIANCE
Practice address
602 W Liberty St
Wauconda, IL 60084-3405
Phone
(847) 487-9383
Fax
(847) 487-9626
NPI assigned
Sep 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Dr. Lisa S Bajorek, PHARMDNPI 1144081159
Title
Pharmacist
Phone
(847) 873-9925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

602 W Liberty St
Wauconda, IL 60084-3405

Mailing address

1190 Thornwood LN
Crystal Lake, IL 60014-5038
Phone (847) 873-9925

National Provider Directory

National Provider Directory

Locations

602 W Liberty St
Wauconda, IL 60084
Phone (847) 487-9383

Ownership & related parties

Subparts reporting this organization as parent 769

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 769

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1831978451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 THORNWOOD LN",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145038",
            "telephone_number": "847-873-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W LIBERTY ST",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600843405",
            "telephone_number": "847-487-9383",
            "fax_number": "847-487-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS BOOTS ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "BAJOREK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "847-873-9925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauconda, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; 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.