Organization Active NPI

Walgreen'S Pharmacy

  • Pharmacotherapy Pharmacist
  • Portsmouth, VA
National Provider Identifier
1972874386
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
0202207335 Issued in VA
Legal business name
WALGREEN'S PHARMACY
Practice address
700 Frederick Blvd
Portsmouth, VA 23707-3314
Phone
(757) 391-9123
Fax
(757) 391-9140
NPI assigned
Jan 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Authorized official

Name
Mr. Curtis Darnell Jones, RPH
Title
Staff Pharmacist
Phone
(757) 391-9123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P1200X 0202207335 VA Primary

Addresses

Primary practice location

700 Frederick Blvd
Portsmouth, VA 23707-3314

Mailing address

1220 Darren Dr
Portsmouth, VA 23701-3731
Phone (917) 864-2612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1972874386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 DARREN DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013731",
            "telephone_number": "917-864-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073314",
            "telephone_number": "757-391-9123",
            "fax_number": "757-391-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "757-391-9123",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0202207335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.