Walgreens

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2014026883 Issued in MO

Legal business name

WALGREENS

Practice address

900 Eastland Dr
Jefferson City, MO 65101-3894

Phone

(573) 556-5615

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Heather Dyan Worthington, PHARM.D.

Title

Registered Pharmacist

Phone

(816) 805-3529

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1922417021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 EASTLAND DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013894",
            "telephone_number": "573-556-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 EASTLAND DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013894",
            "telephone_number": "573-556-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "DYAN",
        "authorized_official_title_or_position": "REGISTERED PHARMACIST",
        "authorized_official_telephone_number": "816-805-3529",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2014026883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
• Wal-Mart Stores, Inc.
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walk Easy LLC
• Skylar Danae Walk, OTD
• Jaime L Walker, AU.D.
• Melanie Ann Walker, LPC
• Riley L Walker, MS, LAT, ATC

• Community/Retail Pharmacy in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.