Organization Active NPI

Walgreens

  • Pharmacist
  • San Francisco, CA
National Provider Identifier
1902202120
Registry record updated Nov 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70995 Issued in CA
Legal business name
WALGREENS
Practice address
1496 Market St
San Francisco, CA 94102-6004
Phone
(415) 626-9972
NPI assigned
Nov 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2014

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

Authorized official

Name
Shawn Houghtaling
Title
Pharmacy Supervisor
Phone
(650) 348-1559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 70995 CA Primary

Addresses

Primary practice location

1496 Market St
San Francisco, CA 94102-6004

Mailing address

216 Stratford Dr
San Francisco, CA 94132-2656

National Provider Directory

National Provider Directory

Locations

1496 Market St
San Francisco, CA 94102
Phone (415) 626-9972

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416096000000",
    "number": "1902202120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 STRATFORD DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941322656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941026004",
            "telephone_number": "415-626-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A",
        "authorized_official_last_name": "HOUGHTALING",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PHARMACY SUPERVISOR",
        "authorized_official_telephone_number": "650-348-1559"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

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