NPIMap

Organization Active NPI

Walgreens

  • Pharmacist
  • Mashpee, MA
National Provider Identifier
1982989356
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH26832 Issued in MA
Legal business name
WALGREENS
Practice address
21 South St
Mashpee, MA 02649-6501
Phone
(508) 477-0137
Fax
(508) 477-0361
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Authorized official

Name
Dr. Debra J Ransom, PHARMD
Title
Staff Pharmacist
Phone
(508) 477-0137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PH26832 MA Primary

Addresses

Primary practice location

21 South St
Mashpee, MA 02649-6501

Mailing address

21 South St
Mashpee, MA 02649-6501
Phone (508) 477-0137

Other identifiers 2

IdentifierTypeStateIssuer
2243210MedicaidMA
1912226952OtherMANPI

National Provider Directory

National Provider Directory

Locations

21 South St
Mashpee, MA 02649
Phone (508) 477-0137

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1982989356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTH ST",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496501",
            "telephone_number": "508-477-0137",
            "fax_number": "508-477-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SOUTH ST",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026496501",
            "telephone_number": "508-477-0137",
            "fax_number": "508-477-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "RANSOM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "508-477-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH26832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2243210",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1912226952",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.