{"npi":"1104921089","type":"NPI-2","status":"active","name":{"display":"Walgreen Co","other":[],"organization_name":"WALGREEN CO","authorised_official":"Virginia Garza"},"specialty":{"primary_taxonomy":"333600000X","primary_taxonomy_description":"Pharmacy","slug":"pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":true,"state":"MD","license":"P06760"}]},"addresses":[{"purpose":"LOCATION","street_1":"8174 OCEAN GTWY","city":"EASTON","state":"MD","postal_code":"216017144","country_code":"US","phone":"4107636907"},{"purpose":"MAILING","street_1":"1901 E VOORHEES ST","city":"DANVILLE","state":"IL","postal_code":"618344509","country_code":"US","street_2":"MS 790","phone":"2177092364","fax":"2177092344"}],"license":{"state":"MD","number":"P06760"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"411343800","state":"MD","issuer":null},{"type_code":"01","label":"Other","value":"2132936","state":"MD","issuer":"NCPDP"},{"type_code":"01","label":"Other","value":"411253900","state":"MD","issuer":"MEDICAID DME"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930017840","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"MD","pac_id":"0941278253"}]},"enumeration_date":"2006-09-14","last_updated":"2026-06-03","_meta":{"source":"NPPES","snapshot_date":"2026-06-03","doc_url":"https://findmynpi.com/api"}}