Organization Active NPI

Walgreens Pharmacy

  • Community/Retail Pharmacy
  • Newark, NJ
National Provider Identifier
1922375781
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RI03249000 Issued in NJ
Legal business name
WALGREENS PHARMACY
Practice address
561 Irvington Ave
Newark, NJ 07106-3103
Phone
(973) 373-0387
Fax
(973) 399-2614
NPI assigned
Nov 22, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Dr. Maria Veronica Cruz Camacho, PHARMDNPI 1740550763
Title
Pharmacist
Phone
(973) 373-0387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RI03249000 NJ Primary

Addresses

Primary practice location

561 Irvington Ave
Newark, NJ 07106-3103

Mailing address

561 Irvington Ave
Newark, NJ 07106-3103
Phone (973) 373-0387

National Provider Directory

National Provider Directory
Tax ID family
Walgreens Pharmacy 2267338 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

561 Irvington Ave
Newark, NJ 07106
Phone (973) 373-0387

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1922375781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 IRVINGTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063103",
            "telephone_number": "973-373-0387",
            "fax_number": "973-399-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 IRVINGTON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071063103",
            "telephone_number": "973-373-0387",
            "fax_number": "973-399-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "MARIA VERONICA",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "973-373-0387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RI03249000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.