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WALGREEN CO
NPI 1013011410
Pharmacy in Orangeburg, SC

Active since September 08, 2006CLIA 42D2006472 · Waiver
1106 JOHN C CALHOUN DR, ORANGEBURG, SC 29115(803) 531-2079(803) 531-2134 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Nov 2, 2023, Feb 28, 2022 and 2 more (5 updates tracked since 2015).

About Walgreen Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN CO (NPI 1013011410), doing business as Walgreens #09879, is a healthcare organization registered as a pharmacy in Orangeburg, South Carolina and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1013011410
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1106 JOHN C CALHOUN DROrangeburg, SC 29115-6656
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(803) 531-2079
Fax(803) 531-2134
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateSeptember 8, 2006
Last NPPES UpdateApril 28, 20265 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1013011410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · 50-009008
Definition
A 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 dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1106 JOHN C CALHOUN DR, Orangeburg, SC 29115
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Other Names 1

Doing Business AsWalgreens #09879

Other Identifiers 3

Medicaid715812SC
MedicaidDE2801 DMESC
Other4226494SC · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2006472

Walgreens #9879 · Orangeburg, SC
Active · expires Sep 14, 2027
CLIA Number42D2006472
Laboratory TypePharmacy
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorLashonda Dupont
Laboratory Phone(843) 367-8724
Laboratory LocationWalgreens #98791106 John C Calhoun Dr, Orangeburg, SC 29115
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
83 services83 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
54 services54 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #9879 carries, from the Medicare DMEPOS supplier directory.

Walgreens #9879

DMEPOS supplier · Orangeburg, SCOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #9879 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20356073
Medicare Participant SinceMarch 1, 2022
Supplier Location1106 John C Calhoun DrOrangeburg, SC 29115
Phone(803) 531-2079
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS J ERICKSON RPH
Pharmacist
1106 JOHN C CALHOUN DR
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2079
MRS. BARBARA WARREN SHIRER BARBARA
Pharmacist
1106 JOHN C CALHOUN DR
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2079
EMILY CLAMP PHARMD
Pharmacist
1106 JOHN C CALHOUN DR
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2079
REBECCA S GRAMLING RPH
Pharmacist
1106 JOHN C CALHOUN DR
ORANGEBURG, SC 29115
Orangeburg County (803) 531-2079

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1013011410. It was assigned to this organization in the NPPES registry on September 8, 2006. The provider is doing business as Walgreens #09879.

Where is Walgreen Co located?

Walgreen Co is located at 1106 John C Calhoun Dr, Orangeburg, SC 29115. The listed phone number is (803) 531-2079.

What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #9879 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2006472) is associated with this NPI, valid through September 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Co accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 38 other insurers list Walgreen Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.