NPIMap

Organization Active NPI

Walgreen

  • Pharmacy
  • Columbia, MO
National Provider Identifier
1932483484
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2007026743 Issued in MO
Legal business name
WALGREEN
Practice address
1000 Club Village Dr
Columbia, MO 65203-4405
Phone
(573) 449-8330
NPI assigned
Oct 3, 2011
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Richard AndersonNPI 1700160199
Title
Pharmacy Manager
Phone
(573) 449-8330

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
Pharmacy 333600000X 2007026743 MO Primary

Addresses

Primary practice location

1000 Club Village Dr
Columbia, MO 65203-4405

Mailing address

1000 Club Village Dr
Columbia, MO 65203-4405
Phone (573) 449-8330

National Provider Directory

National Provider Directory

Locations

1000 Club Village Dr
Columbia, MO 65203
Phone (573) 449-8330

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1932483484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CLUB VILLAGE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034405",
            "telephone_number": "573-449-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CLUB VILLAGE DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034405",
            "telephone_number": "573-449-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "573-449-8330"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MO",
            "license": "2007026743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.