WALGREENS
NPI 1164034302
Pharmacy - Community/Retail Pharmacy in Goodlettsville, TN

Active since August 19, 2020CLIA 44D2032332 · Waiver
101 N MAIN ST, GOODLETTSVILLE, TN 37072(615) 851-7115 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walgreens NPPES

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

WALGREENS (NPI 1164034302) is a healthcare organization registered as a community/retail pharmacy in Goodlettsville, Tennessee and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Matthew Dickerson, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1164034302
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameWALGREENS
Location Address101 N MAIN STGoodlettsville, TN 37072-1513
Mailing Address101 N Main StGoodlettsville, TN 37072-1513
Organization SubpartNo
Authorized OfficialMatthew DickersonPharmacist · (770) 778-0909
Enumeration DateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
NPI 1164034302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
101 N MAIN ST, Goodlettsville, TN 37072

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 44D2032332

Walgreens #7302 · Goodlettsville, TN
Active · expires Dec 16, 2026
CLIA Number44D2032332
Laboratory TypePharmacy
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorJenna L. Starosta
Laboratory Phone(615) 851-7115
Laboratory LocationWalgreens #7302101 N Main St, Goodlettsville, TN 37072
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 #7302 carries, from the Medicare DMEPOS supplier directory.

Walgreens #7302

DMEPOS supplier · Goodlettsville, TNOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #7302 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)20365631
Medicare Participant SinceMarch 1, 2022
Supplier Location101 N Main StGoodlettsville, TN 37072
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 7

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

Pharmacist
101 N MAIN ST
GOODLETTSVILLE, TN 37072
Pharmacist
101 N MAIN ST
GOODLETTSVILLE, TN 37072
Pharmacist
101 N MAIN ST
GOODLETTSVILLE, TN 37072
Pharmacist
101 N MAIN ST
GOODLETTSVILLE, TN 37072
Pharmacy
101 N MAIN ST
GOODLETTSVILLE, TN 37072
Pharmacist
101 N MAIN ST
GOODLETTSVILLE, TN 37072
Pharmacist
101 N MAIN ST
GOODLETTSVILLE, TN 37072

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 Walgreens's NPI number?

The NPI number for Walgreens is 1164034302. It was assigned to this organization in the NPPES registry on August 19, 2020.

Where is Walgreens located?

Walgreens is located at 101 N Main St, Goodlettsville, TN 37072. The listed phone number is (615) 851-7115.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Walgreens accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #7302 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2032332) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreens was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.