Walgreen Arizona Drug Co

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WALGREEN ARIZONA DRUG CO

Practice address

300 Wilmot Rd
Deerfield, IL 60015-4614

Phone

(847) 315-3154

NPI assigned

Dec 29, 2010

Organization subpart

Yes

Parent organization

WALGREEN COAs reported in NPPES

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

Authorized official

Name

Kermit R Crawford

Title

Vice President

Phone

(847) 315-3154

Specialties & licenses 3

Addresses

Other names 1

• WALGREENS Doing business as

Part of

Walgreens 16466

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1891099289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILMOT RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154614",
            "telephone_number": "847-315-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILMOT RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154614",
            "telephone_number": "847-315-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN ARIZONA DRUG CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREEN CO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-315-3154"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Renae Vetter, PHARMD, MSW, LISW
• Vision Development and Rehabilitation Consultants LLC
• Laura Eleanor Vita, RBT
• Christina Vukovich, LSW
• Elizabeth Wajswol
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Pharmacy in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.