NPI age
13 years
Enumerated 2013-03-21
● Active Type 2 · Organization
Subpart
Walgreen Co
Walgreen Co is 1 of 961 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
2022-04-06
Source: monthly bulk 2026-05
How this organization compares
Across 961 active pharmacy providers in Georgia.
NPI age
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 80% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-03Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2025 1st Ave Se
Moultrie, GA 317885155
Mailing address
1901 E Voorhees St, MS 790
Danville, IL 618344509
Authorized official
Kira Taylor
Manager
📞 2177092351
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Alex Lam Pharmacist NPI 1083226732
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 |
|---|---|---|
| 01 (GA) | 1163308 | NCPDP |
| 05 (GA) | 003137212A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
WALGREENS #12756
-
WALGREENS #12756
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Walgreens Boots Alliance Inc.
Provyx · Custom healthcare lists
Need all 961 Pharmacy providers in Georgia?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.