NPIMap

Organization Active NPI

Walgreens#2446

  • Community Health Clinic/Center
  • Essex, MD
National Provider Identifier
1851764740
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
10970 Issued in MD
Legal business name
WALGREENS#2446
Practice address
6 South Marlyn Ave
Essex, MD 21221
Phone
(410) 918-0790
Fax
(410) 918-0796
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Dr. Roberto Licier, PHARM.D.
Title
Pharmacist
Phone
(410) 918-0790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 10970 MD Primary

Addresses

Primary practice location

6 South Marlyn Ave
Essex, MD 21221

Mailing address

6 S Marlyn Ave
Essex, MD 21221-5021
Phone (410) 918-0790

National Provider Directory

National Provider Directory
Tax ID family
Walgreen Co8,684 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

6 S Marlyn Ave
Essex, MD 21221
Phone (410) 918-0790

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1851764740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S MARLYN AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212215021",
            "telephone_number": "410-918-0790",
            "fax_number": "410-918-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SOUTH MARLYN AVE",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "21221",
            "telephone_number": "410-918-0790",
            "fax_number": "410-918-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS#2446",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "LICIER",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "410-918-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "MD",
            "license": "10970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.