Organization Active NPI

Walgreens

  • Pharmacist
  • Vauxhall, NJ
National Provider Identifier
1992072888
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RJ00575 Issued in NJ
Legal business name
WALGREENS
Practice address
2933 Vauxhall Rd
Vauxhall, NJ 07088-1260
Phone
(908) 378-1101
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Mark Wagner
Title
President
Phone
(973) 376-7724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 28RJ00575 NJ Primary

Addresses

Primary practice location

2933 Vauxhall Rd
Vauxhall, NJ 07088-1260

Mailing address

25 Highpoint Dr
Edison, NJ 08820-2758

National Provider Directory

National Provider Directory

Locations

2933 Vauxhall Rd
Vauxhall, NJ 07088
Phone (908) 378-1101

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1992072888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGHPOINT DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 VAUXHALL RD",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881260",
            "telephone_number": "908-378-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-376-7724"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RJ00575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vauxhall, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.