Walgreens

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

6066 Issued in AL

Legal business name

WALGREENS

Practice address

920 US Highway 431
Boaz, AL 35957-1732

Phone

(256) 593-6092

NPI assigned

Nov 16, 2011

Organization subpart

No

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

Authorized official

Name

John David Luther

Title

Pharmacist

Phone

(256) 593-6092

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1851668040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571732",
            "telephone_number": "256-593-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "256-593-6092"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "AL",
            "license": "6066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Leigh Vaughn, CRNP
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Walgreens
• Walk-in and Intermediate Care Clinic
• Walk-in and Intermediate Care Clinic
• Walk-in and Intermediate Care Clinic LLC
• Walk-in and Intermediate Care Clinic LLC
• Amber Walker, CRNP

• Community Health Clinic/Center in Boaz, AL
• Providers in Boaz, AL by specialty
• Community Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.