Wallgreens
Wallgreens is a healthcare organization registered as Community Health Clinic/Center in San Carlos, CA, holding Type 2 (organization) NPI 1154604841 since 2011. The authorized official on file is Conja So-Rosillo, Pharmacist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1154604841 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Wallgreens |
| Practice address | 1414 EL CAMINO REAL, San Carlos, CA, 94070 |
| Phone | 6506379777 |
| Fax | 6506371012 |
| Enumeration date | 2011-09-20 |
| Last updated in NPPES | 2011-09-20 |
Authorized official
| Name | Conja So-Rosillo |
|---|---|
| Title | Pharmacist |
| Phone | 6506379777 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QC1500X | Community Health Clinic/Center | Primary | RPH52616 | CA |
Copy-ready billing details
Provider: Wallgreens NPI: 1154604841 Taxonomy: 261QC1500X (Community Health Clinic/Center) Address: 1414 EL CAMINO REAL, San Carlos, CA, 94070
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134134463 | Walgreen Co | Organization | Pharmacy | San Carlos, CA |
| 1619196359 | Frances Ngok | Individual | Pharmacist | San Carlos, CA |
| 1487936639 | Roy Hendricksen | Individual | Pharmacist | San Carlos, CA |
| 1861774812 | Sanjay Patel | Individual | Pharmacist | San Carlos, CA |
| 1346522257 | Daniel Park | Individual | Pharmacist | San Carlos, CA |
| 1275818361 | Alexis Semanchuk | Individual | Pharmacist | San Carlos, CA |
| 1518244193 | Walgreen Co | Organization | Pharmacy | San Carlos, CA |
| 1467821413 | William Lim | Individual | Pharmacist | San Carlos, CA |
Verify this record
Cross-check NPI 1154604841 against the authoritative CMS record: view Wallgreens on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Wallgreens?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-09-20.