{"npi":"1780915397","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":"MN","license":"263302"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 MAIN AVE N","city":"PARK RAPIDS","state":"MN","postal_code":"564701511","country_code":"US","phone":"2187323342","fax":"2187325053"},{"purpose":"MAILING","street_1":"1901 E VOORHEES ST","city":"DANVILLE","state":"IL","postal_code":"618344509","country_code":"US","street_2":"MS 790","phone":"2177092351","fax":"2177092344"}],"license":{"state":"MN","number":"263302"},"identifiers":[{"type_code":"01","label":"Other","value":"2429997","state":null,"issuer":"OTHER COMMERCIAL ID"},{"type_code":"05","label":"Medicaid","value":"1780915397","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930087190","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"MN","pac_id":"0941278253"}]},"enumeration_date":"2010-01-21","last_updated":"2024-06-05","_meta":{"source":"NPPES","snapshot_date":"2024-06-05","doc_url":"https://findmynpi.com/api"}}