Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

051294491 Issued in IL

Legal business name

WALGREENS

Practice address

835 W Galena Ave
Freeport, IL 61032-3973

Phone

(815) 232-8320

Fax

(815) 232-1471

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Shu Yi Yu

Title

Registered Pharmacist

Phone

(773) 931-0501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1912288028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N MAIN ST",
            "address_2": "APT. 101",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611037068",
            "telephone_number": "773-931-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W GALENA AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323973",
            "telephone_number": "815-232-8320",
            "fax_number": "815-232-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "SHU",
        "authorized_official_middle_name": "YI",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "773-931-0501",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051294491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ervin Wainwright
• Wal-Mart Stores Inc. (Vision Center 30-1740)
• Walgreen Co (Walgreens #12287)
• Walgreen Co (Walgreens #02584)
• Walgreen Co. (Walgreens #12287)
• George Walker, DDS, MS
• Walmart Inc.
• Jacob Walters
• Erik Walton
• Kristin M Waughen, DPT

• Community/Retail Pharmacy in Freeport, IL
• Providers in Freeport, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.