WALGREENS # 12548
NPI 1083977326
Pharmacy - Community/Retail Pharmacy in San Jose, CA

Active since June 21, 2012
1130 FOXWORTHY AVE, SAN JOSE, CA 94704(925) 924-0061 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Walgreens # 12548 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREENS # 12548 (NPI 1083977326) is a healthcare organization registered as a community/retail pharmacy in San Jose, California and active in the NPI registry since June 2012. The organization lists Kermit R Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1083977326
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREEN CO
Location Address1130 FOXWORTHY AVESan Jose, CA 94704-1209
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Organization SubpartYes
Authorized OfficialKermit R CrawfordPresident · (847) 315-3154
Enumeration DateJune 21, 2012
Last NPPES UpdateJune 27, 2012
NPI 1083977326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
1130 FOXWORTHY AVE, San Jose, CA 94704

Other Names 1

Doing Business AsWalgreens # 12548

Other Identifiers 3

Other5644275CA · Ncpdp
Medicare PINPHC049
Medicare PINP00400633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1083977326. It was assigned to this organization in the NPPES registry on June 21, 2012. The provider is doing business as Walgreens # 12548.

Where is Walgreen Co located?

Walgreen Co is located at 1130 Foxworthy Ave, San Jose, CA 94704. The listed phone number is (925) 924-0061.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on June 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.