PREMISE HEALTH WELLNESS CENTER
NPI 1063073039
Pharmacy in Brentwood, TN

Active since June 21, 2019CLIA 44D2175243 · Waiver
5410 MARYLAND WAY STE 100RX, BRENTWOOD, TN 37027(615) 238-0335(615) 238-0336 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2024, Oct 1, 2019, Sep 26, 2019 and 1 more (4 updates tracked since 2019).

About Premise Health Wellness Center NPPES

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

PREMISE HEALTH WELLNESS CENTER (NPI 1063073039) is a healthcare organization registered as a pharmacy in Brentwood, Tennessee and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through November 18, 2027 and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1063073039
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address5410 MARYLAND WAY STE 100RXBrentwood, TN 37027-5064
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Fax(615) 238-0336
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateJune 21, 2019
Last NPPES UpdateJune 7, 20244 updates tracked since enumeration
NPPES CertifiedJune 7, 2024
NPI 1063073039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
5410 MARYLAND WAY STE 100RX, Brentwood, TN 37027

Other Names 1

Doing Business AsPremise Health Wellness Center

Other Identifiers 1

OtherNCPDPTN · 4451845

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 44D2175243

Premise Health Wellness Center · Brentwood, TN
Active · expires Nov 18, 2027
CLIA Number44D2175243
Laboratory TypePharmacy
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorBenjamin Rapp
Laboratory Phone(615) 238-0335
Laboratory LocationPremise Health Wellness Center5410 Maryland Way Suite 100rx, Brentwood, TN 37027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1063073039. It was assigned to this organization in the NPPES registry on June 21, 2019. The provider is doing business as Premise Health Wellness Center.

Where is Walgreen Co located?

Walgreen Co is located at 5410 Maryland Way Ste 100rx, Brentwood, TN 37027. The listed phone number is (615) 238-0335.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2175243) is associated with this NPI, valid through November 18, 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 41 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 June 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.