Walgreens

Primary specialty

PharmacistTaxonomy code 183500000X

License

S020907 Issued in AZ

Legal business name

WALGREENS

Doing business as

Walgreens pharmacy

Practice address

4213 W. Rosemonte Dr.
Glendale, AZ 85308

Phone

(714) 335-1131

NPI assigned

Sep 15, 2014

Last updated

Sep 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yong K Kim, PHARMDNPI 1417385220

Title

Pharmacist

Phone

(714) 335-1131

Specialties & licenses 1

Addresses

Other names 1

• Walgreens pharmacy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yong Kim, PHARM. D.

  • Pharmacist
  • Phoenix, AZ
  • NPI 1417385220
  Authorized official Same address or phone

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1851792444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 W ROSEMONTE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087509",
            "telephone_number": "714-335-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 W. ROSEMONTE DR.",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "714-335-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "714-335-1131",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S020907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walgreens pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co (Walgreens #05266)
• Walgreen Co (Walgreens #07110)
• Walgreen Co (Walgreens #05851)
• Walgreen Co (Walgreens #03385)
• Walgreen Co (Walgreens #03003)
• Jodi Nichole Walker
• Lise Carol Walker, M.D.
• Nicole Rae Walker, PA-C
• Raechl Walker
• Robert Stephen Walker, MD

• Pharmacist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.