WALGREEN CO
NPI 1063760908
Pharmacy in Covington, GA

Active since August 27, 2012CLIA 11D2052274 · Waiver
3188 HIGHWAY 278 NE, COVINGTON, GA 30014(770) 784-8090(770) 788-3662 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 28, 2025, Apr 13, 2022, Jan 14, 2016 (3 updates tracked since 2016).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1063760908), doing business as Walgreens #13760, is a healthcare organization registered as a pharmacy in Covington, Georgia and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1063760908
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3188 HIGHWAY 278 NECovington, GA 30014-2300
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Fax(770) 788-3662
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateAugust 27, 2012
Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1063760908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE009875
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
3188 HIGHWAY 278 NE, Covington, GA 30014

Other Names 1

Doing Business AsWalgreens #13760

Other Identifiers 2

Medicaid003129661AGA
Other1162750GA · Ncpdp

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 11D2052274

Walgreens #13760 · Covington, GA
Active · expires Mar 28, 2027
CLIA Number11D2052274
Laboratory TypePharmacy
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorMs. Arsany Hanna
Laboratory Phone(770) 784-8090
Laboratory LocationWalgreens #137603188 Highway 278 ,ne, Covington, GA 30014
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 #13760 carries, from the Medicare DMEPOS supplier directory.

Walgreens #13760

DMEPOS supplier · Covington, GAOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #13760 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)20384489
Medicare Participant SinceMarch 1, 2022
Supplier Location3188 Highway 278 NECovington, GA 30014
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 2

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

Pharmacist
3188 HIGHWAY 278 NE
COVINGTON, GA 30014
Pharmacist
3188 HIGHWAY 278 NE
COVINGTON, GA 30014

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 1063760908. It was assigned to this organization in the NPPES registry on August 27, 2012. The provider is doing business as Walgreens #13760.

Where is Walgreen Co located?

Walgreen Co is located at 3188 Highway 278 NE, Covington, GA 30014. The listed phone number is (770) 784-8090.

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 #13760 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 11D2052274) is associated with this NPI, valid through March 28, 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 March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.