WALGREENS #15110
NPI 1043579824
Pharmacy in Kings Mountain, NC

Active since May 14, 2012CLIA 34D2053373 · Waiver
900 SHELBY RD, KINGS MOUNTAIN, NC 28086(704) 739-2127(704) 739-5944 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2022, Nov 13, 2015 (2 updates tracked since 2015).

About Walgreens #15110 NPPES

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

WALGREENS #15110 (NPI 1043579824) is a healthcare organization registered as a pharmacy in Kings Mountain, North Carolina and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1043579824
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address900 SHELBY RDKings Mountain, NC 28086-2738
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(704) 739-5944
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateMay 14, 2012
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1043579824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in NC · 11281
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
900 SHELBY RD, Kings Mountain, NC 28086

Other Names 1

Doing Business AsWalgreens #15110

Other Identifiers 2

Other3460045NC · Ncpdp
Medicaid0235983NC

Accepted 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 34D2053373

Walgreens #15110 · Kings Mountain, NC
Active · expires Apr 29, 2027
CLIA Number34D2053373
Laboratory TypePharmacy
Certificate Effective DateApril 30, 2025
Certificate Expiration DateApril 29, 2027
Laboratory DirectorRachel Townsend
Laboratory Phone(704) 739-2127
Laboratory LocationWalgreens #15110900 Shelby Road, Kings Mountain, NC 28086
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #15110 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15110

DMEPOS supplier · Kings Mountain, NCOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #15110 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)20359793
Medicare Participant SinceMarch 1, 2022
Supplier Location900 Shelby RdKings Mountain, NC 28086
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

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

Pharmacist
900 SHELBY RD
KINGS MOUNTAIN, NC 28086

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 1043579824. It was assigned to this organization in the NPPES registry on May 14, 2012. The provider is doing business as Walgreens #15110.

Where is Walgreen Co located?

Walgreen Co is located at 900 Shelby Rd, Kings Mountain, NC 28086. The listed phone number is (704) 739-2127.

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 #15110 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 34D2053373) is associated with this NPI, valid through April 29, 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 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.