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WALGREENS #18318
NPI 1174046932
Pharmacy in Bristol, VA

Active since July 24, 2017CLIA 49D2021946 · Waiver
1200 EUCLID AVE, BRISTOL, VA 24201(276) 645-0977(276) 645-0309 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2020, May 1, 2018, Dec 13, 2017 and 2 more (5 updates tracked since 2017).

About Walgreens #18318 NPPES

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

WALGREENS #18318 (NPI 1174046932) is a healthcare organization registered as a pharmacy in Bristol, Virginia and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1174046932
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1200 EUCLID AVEBristol, VA 24201-3924
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(276) 645-0977
Fax(276) 645-0309
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 24, 2017
Last NPPES UpdateMarch 27, 20205 updates tracked since enumeration
NPPES CertifiedMarch 27, 2020
✔ NPI 1174046932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in VA · 0201003630
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
1200 EUCLID AVE, Bristol, VA 24201
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Other Names 1

Doing Business AsWalgreens #18318

Other Identifiers 3

Other0201003630VA · Board Of Pharmacy
Medicaid1174046932VA
Other4848935VA · Ncpdp

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walgreens #18318 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateVirginiaEnrollment IDO20201223002102Non-DME Part B · Independent Clinical LaboratoryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 49D2021946

Walgreens #9046 · Bristol, VA
Active · expires Mar 22, 2027
CLIA Number49D2021946
Laboratory TypePharmacy
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorCollin K. Jones
Laboratory Phone(276) 642-0738
Laboratory LocationWalgreens #90461460 Lee Highway, Bristol, VA 24201
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

ELSHAMLY AFFAN ABDELFATTAH PHARMD
Pharmacist
1200 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 645-0977
TERI LEIGH COOK PHARM D
Pharmacist
1200 EUCLID AVE
BRISTOL, VA 24201
Bristol City (276) 645-0977

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 1174046932. It was assigned to this organization in the NPPES registry on July 24, 2017. The provider is doing business as Walgreens #18318.

Where is Walgreen Co located?

Walgreen Co is located at 1200 Euclid Ave, Bristol, VA 24201. The listed phone number is (276) 645-0977.

What is Walgreen Co's specialty?

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

Is Walgreen Co enrolled in Medicare?

Yes. Walgreen Co is registered in the Medicare PECOS enrollment system.

When is Walgreen Co's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Virginia, Independent Clinical Laboratory) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2021946) is associated with this NPI, valid through March 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walgreen Co was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.