Organization Active NPI

Walgreens

  • Community/Retail Pharmacy
  • Dixon, IL
National Provider Identifier
1992081988
Registry record updated Oct 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
051.033825 Issued in IL
Legal business name
WALGREENS
Practice address
1275 N Galena Ave
Dixon, IL 61021-1001
Phone
(815) 288-7844
Fax
(815) 288-6953
NPI assigned
Oct 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2011

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

Authorized official

Name
Mr. Steven C Oster, RPH
Title
Staff Pharmacist
Phone
(815) 973-6327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 051.033825 IL Primary

Addresses

Primary practice location

1275 N Galena Ave
Dixon, IL 61021-1001

Mailing address

822 E Morgan St
822 E. Morgan St.
Dixon, IL 61021-2260
Phone (815) 973-6327

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319328000000",
    "number": "1992081988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 E MORGAN ST",
            "address_2": "822 E. MORGAN ST.",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610212260",
            "telephone_number": "815-973-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N GALENA AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610211001",
            "telephone_number": "815-288-7844",
            "fax_number": "815-288-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A",
        "authorized_official_last_name": "OSTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "STAFF PHARMACIST",
        "authorized_official_telephone_number": "815-973-6327",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051.033825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.