NPI age
9 years
Enumerated 2017-07-27
● Active Type 2 · Organization
Subpart
Walgreen Co
Walgreen Co is 1 of 968 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Taylor
Manager
Last NPPES update
2022-06-10
Source: CMS NPPES provider record
How this organization compares
Across 968 active pharmacy providers in Georgia.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 79% of peers with subspecialties
NPI lifetime · 2017 → 2022
2017-07Enumerated in NPPES
2017
2022
Where they practice
Primary practice location
2498 Cumberland Pkwy Se
Atlanta, GA 303394502
Mailing address
1901 E Voorhees St, MS 790
Danville, IL 618344509
Authorized official
Kira Taylor
Manager
📞 2177092351
Other providers sharing this address
5 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Nwamaka Anadu, PHARM. D. Pharmacist NPI 1578688040
- Tyler Doctrie Pharmacist NPI 1225953656
- Courtney Fraley, PHARMD Pharmacist NPI 1053588541
- Jacqueline Mlambo Pharmacist NPI 1033408398
- Michael Smith, PHARMD Pharmacist NPI 1790805851
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000204817A | |
| 01 (GA) | 1171533 | NCPDP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Walgreens #19823
Practice context
Shared NPPES address. 5 individual providers use this primary address. This does not prove employment or affiliation.
Subpart of Walgreens Boots Alliance Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.