Walgreens

Primary specialty

PharmacyTaxonomy code 333600000X

License

0202213173 Issued in VA

Legal business name

WALGREENS

Practice address

3505 Nutley St
Suite a
Fairfax, VA 22031

Phone

(703) 280-8259

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By 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

Lisa Thanh Van Nguyen, PHARM.D.

Title

Pharmacist

Phone

(703) 402-2568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1922407915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12151 BRIDGEND RUN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220308901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 NUTLEY ST",
            "address_2": "SUITE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-280-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "THANH VAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "703-402-2568",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0202213173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #19791)
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• Walgreen Co (Walgreens #11297)
• Walgreen Co (Rite Aid #3686)
• Alecia Andrea Walker, CSFA
• Amy Dean Walker, LCSW
• Angelia Nycole Walker, PHARM.D
• Jourdan Elizabeth Walker
• Katharine Currier Walker, ATR-BC, LPC

• Pharmacy in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.