Organization Active NPI

Walgreens

  • Pharmacist
  • Bedford, IN
National Provider Identifier
1972995769
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26014833A Issued in IN
Legal business name
WALGREENS
Practice address
1215 16TH St
Bedford, IN 47421-3706
Phone
(812) 277-9375
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Casey Summers
Title
Pharmacy Manager
Phone
(812) 277-9375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 183500000X 26014833A IN Primary

Addresses

Primary practice location

1215 16TH St
Bedford, IN 47421-3706

Mailing address

1407 S Lincoln St
Bloomington, IN 47401-5853
Phone (260) 450-2007

National Provider Directory

National Provider Directory

Locations

1215 16th St
Bedford, IN 47421
Phone (812) 277-9375

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1972995769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 S LINCOLN ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015853",
            "telephone_number": "260-450-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213706",
            "telephone_number": "812-277-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "812-277-9375"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26014833A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.