Walgreens

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH 00058183 Issued in WA

Legal business name

WALGREENS

Practice address

17518 15TH Ave NE
Shoreline, WA 98155-3802

Phone

(206) 361-7474

Fax

(206) 361-0220

NPI assigned

Dec 26, 2011

Organization subpart

No

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

Authorized official

Name

Nguyen Ngo, PHARM D

Title

Staff Pharmacist

Phone

(206) 361-7474

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1912276619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17518 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553802",
            "telephone_number": "206-361-7474",
            "fax_number": "206-361-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17518 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553802",
            "telephone_number": "206-361-7474",
            "fax_number": "206-361-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "NGO",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "206-361-7474",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00058183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6021778",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Waddingham, PA-C
• Jeannette Wake, OTR
• Walgreen Co (Walgreens #03788)
• Walgreen Co (Walgreens #09373)
• Walgreen Co (Walgreens #04759)
• Sofia Wall
• John G Wallace, M.D.
• Kaitlin P Waller, LMHCA
• Sally Ann Waller, PHD, LMHC
• Linda Louise Walsh, MS LMHC

• Pharmacist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.