Walgreens

Primary specialty

PharmacistTaxonomy code 183500000X

License

23002 Issued in MD

Legal business name

WALGREENS

Practice address

19 E Fayette St
Baltimore, MD 21202-6420

Phone

(410) 625-1817

NPI assigned

Nov 25, 2014

Organization subpart

No

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

Authorized official

Name

Steve Bouyoukas

Title

Supervisor

Phone

(410) 290-1054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1861899403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16804 HARBOUR TOWN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054100",
            "telephone_number": "240-421-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E FAYETTE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212026420",
            "telephone_number": "410-625-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "BOUYOUKAS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "410-290-1054"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "23002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co.
• Walgreen Co.
• Walgreen Co.
• Walgreen Co.
• Walgreen Co.
• Ansar Wali, MD
• Ashley Michelle Walinski, DNP, CRNP, NNP-BC
• Vanessa Walker Harris, M.D.
• Walker Pharmacy Inc
• Tilwana Walker-Griffin, LCPC

• Pharmacist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.