NPI Information

  • NPI: 1780966606
  • Provider Name: WALGREENS
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 113 MONUMENT ST
    MEDFORD, MA
    ZIP 02155
  • Phone: (781) 483-3227

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NPI Details

WALGREENS is a community based residential treatment facility mental illness in Medford, MA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. WALGREENS NPI is 1780966606. The provider is registered as an organization entity type.

The provider's business location address is:

113 MONUMENT ST
MEDFORD, MA
ZIP 02155-538
Phone: (781) 483-3227
Fax: (781) 483-3227

The provider's authorized official is Nkaja Victoria Opara .
The authorized official title is Registered Pharmacist and has the following contact phone number (781) 483-3227.

The enumeration date for this NPI number is 9/16/2011 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessPH21276MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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