WALGREENS #17015
NPI 1164949764
Pharmacy in Sugar Mountain, NC

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1164949764. It was assigned to this organization in the NPPES registry on August 24, 2017. The provider is doing business as Walgreens #17015.

Q: What is Walgreen Co's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 24, 2017CLIA 34D2293832 · Waiver

4059 NC HIGHWAY 105 S, SUGAR MOUNTAIN, NC 28604(828) 898-8971(828) 898-5265 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2022, Mar 18, 2019, May 11, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Walgreens #17015 NPPES

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

WALGREENS #17015 (NPI 1164949764) is a healthcare organization registered as a pharmacy in Sugar Mountain, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1164949764

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address4059 NC HIGHWAY 105 SSugar Mountain, NC 28604-8629

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(828) 898-8971

Fax(828) 898-5265

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateAugust 24, 2017

Last NPPES UpdateMay 9, 20224 updates tracked since enumeration

NPPES CertifiedMay 9, 2022

✔ NPI 1164949764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NC · 13530

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

4059 NC HIGHWAY 105 S, Sugar Mountain, NC 28604

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Other Names 1

Doing Business AsWalgreens #17015

Other Identifiers 2

Medicaid1164949764NC

Other3468368NC · 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 34D2293832

Walgreens 17015 · Sugar Mountain, NC

Active · expires Nov 14, 2027

CLIA Number34D2293832

Laboratory TypePharmacy

Certificate Effective DateNovember 15, 2025

Certificate Expiration DateNovember 14, 2027

Laboratory DirectorKatelyn B. Rhoney

Laboratory Phone(828) 898-8971

Laboratory LocationWalgreens 170154059 Nc State Highway 105 S, Sugar Mountain, NC 28604

CLIA data matches this NPI record on: 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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Sugar Mountain, NC

✔

Accepts Medicare assignment

Walgreen Co 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)20400719

Medicare Participant SinceMarch 1, 2022

Supplier Location4059 Nc Highway 105 S Walgreens #17015Sugar Mountain, NC 28604

Phone(828) 898-8971

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.

MR. STEVEN FRANCIS MATEIKO RPH.

Pharmacist

4059 NC HIGHWAY 105 S
SUGAR MOUNTAIN, NC 28604

Avery County (828) 898-8971

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 1164949764. It was assigned to this organization in the NPPES registry on August 24, 2017. The provider is doing business as Walgreens #17015.

Where is Walgreen Co located?

Walgreen Co is located at 4059 Nc Highway 105 S, Sugar Mountain, NC 28604. The listed phone number is (828) 898-8971.

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, Walgreen Co 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 34D2293832) is associated with this NPI, valid through November 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 39 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 May 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.