NPIMap

Organization Active NPI

Walgreens Pharmacy

  • Pharmacist
  • York, SC
National Provider Identifier
1922300508
Registry record updated Apr 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21113 Issued in NC
Legal business name
WALGREENS PHARMACY
Practice address
887 East Liberty Street
York, SC 29745
Phone
(803) 684-3358
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2011

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

Authorized official

Name
Dr. Blake Whitman, PHARMD
Title
Pharmacy Manager
Phone
(704) 877-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 21113 NC Primary

Addresses

Primary practice location

887 East Liberty Street
York, SC 29745

Mailing address

16017 Sunninghill Park Rd
Charlotte, NC 28277-2577
Phone (704) 877-8346

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1922300508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16017 SUNNINGHILL PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772577",
            "telephone_number": "704-877-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 EAST LIBERTY STREET",
            "city": "YORK",
            "state": "SC",
            "postal_code": "29745",
            "telephone_number": "803-684-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "WHITMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "704-877-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

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