Active NPI
Walgreen Co
Doing business as Walgreens Prescription Center #16495
- Pharmacy
- Las Cruces, NM
National Provider Identifier
1912457375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PH00004331
- Legal business name
- WALGREEN CO
- Doing business as
- Walgreens Prescription Center #16495
- Practice address
- 3450 S Telshor Blvd
Las Cruces, NM 88011-5069 - Phone
- (915) 595-2788
- NPI assigned
- Oct 10, 2016
- Last updated
- Nov 7, 2016
- Organization subpart
- Yes
- Parent organization
- WALGREENS BOOTS ALLIANCE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alan Nielsen
- Title
- Asst Treasurer
- Phone
- (847) 315-3523
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PH00004331 | NM | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
3450 S Telshor Blvd
Las Cruces, NM 88011-5069
Mailing address
1901 E Voorhees St
Ms 790
Danville, IL 61834-4509
Phone (217) 709-2386
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3213307 | Other | NM | NCPDP |
Other names 1
- WALGREENS PRESCRIPTION CENTER #16495
National Provider Directory
National Provider Directory- Tax ID family
- Walgreen Co
- Part of
- Walgreens Holding Company
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478476800000",
"number": "1912457375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST",
"address_2": "MS 790",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344509",
"telephone_number": "217-709-2386",
"fax_number": "217-709-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 S TELSHOR BLVD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880115069",
"telephone_number": "915-595-2788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALGREEN CO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
"enumeration_date": "2016-10-10",
"last_updated": "2016-11-07",
"status": "A",
"authorized_official_last_name": "NIELSEN",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "ASST TREASURER",
"authorized_official_telephone_number": "847-315-3523",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NM",
"license": "PH00004331",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3213307",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WALGREENS PRESCRIPTION CENTER #16495",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.