WALLGREENS (NPI# 1154604841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154604841 |
| Entity Type | Organization |
| Organization Name | WALLGREENS |
| Practice Address |
1414 El Camino Real San Carlos CA 94070-0000 |
| Mailing Address |
1414 El Camino Real San Carlos CA 94070 |
| Practice Telephone | 6506379777 |
| Practice Fax Number | 6506371012 |
| Mailing Telephone | 6506379777 |
| Mailing Fax Number | 6506371012 |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2011-09-20 |
| Authorized Official Name | CONJA SO-ROSILLO (PHARMACIST) |
| Authorized Official Telephone | 6506379777 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
RPH52616 | CA | Ambulatory Health Care Facilities |
| Street Address |
1414 EL CAMINO REAL |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134134463 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2006-07-29 |
| 1417569849 | Tiffany Tran | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2020-08-18 |
| 1114569068 | Jeanny Nguyen | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2019-10-11 |
| 1124509179 | Jay Shin | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2018-08-28 |
| 1962918011 | Veronica Miro | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2017-12-26 |
| 1306352901 | Tracy Lu | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070 | 2017-12-18 |
| 1700238177 | Junelle Louise Juan Empleo | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2016-07-08 |
| 1467821413 | William Lim | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2015-09-21 |
| 1518244193 | Walgreen Co | Pharmacy | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2011-11-09 |
| 1275818361 | Alexis Ann Semanchuk | Pharmacist | 1414 El Camino Real, San Carlos, CA 94070-5102 | 2011-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.