Walgreens

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PH00070793 Issued in WA

Legal business name

WALGREENS

Practice address

6105 NE 114TH Ave
Vancouver, WA 98662-6335

Phone

(360) 254-3848

NPI assigned

Jan 17, 2012

Organization subpart

No

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

Authorized official

Name

Bethlehem Shawle, DOCTOR OF PHARMACIST

Title

Staff Pharmacist

Phone

(360) 254-3848

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1912278367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 NE 109TH AVE APT T3",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986827210",
            "telephone_number": "360-254-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 NE 114TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626335",
            "telephone_number": "360-254-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "SHAWLE",
        "authorized_official_first_name": "BETHLEHEM",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "360-254-3848",
        "authorized_official_credential": "DOCTOR OF PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "PH00070793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST PHARMD",
            "identifier": "PH00070793",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Melissa Waliezer, LPN
• Walk in Hope Counseling PLLC
• Jessica Walk, O.D.
• Destinie Marie Walker
• Emily Walker, MD

• Health Maintenance Organization in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.