FIELDALE FAMILY PHARMACY GAINESVILLE - NPI 1184474405

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1184474405. It was assigned to this organization in the NPPES registry on March 27, 2024. The provider is doing business as Fieldale Family Pharmacy Gainesville.

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 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Fieldale Family Pharmacy Gainesville NPPES

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

FIELDALE FAMILY PHARMACY GAINESVILLE (NPI 1184474405) is a healthcare organization registered as a pharmacy in Gainesville, Georgia and active in the NPI registry since March 2024. The organization lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1184474405

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address584 LANIER PARK DRGainesville, GA 30501-2000

Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344

Phone(470) 252-3009

Fax(470) 252-3030

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialVirginia GarzaManager · (217) 709-2364

Enumeration DateMarch 27, 2024

Last NPPES UpdateMay 15, 2024

NPPES CertifiedMay 15, 2024

✔ NPI 1184474405 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

584 LANIER PARK DR, Gainesville, GA 30501

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Other Names 1

Doing Business AsFieldale Family Pharmacy Gainesville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. 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 11D2308131

Walgreens 21594 · Gainesville, GA

Expired · Jul 22, 2026

CLIA Number11D2308131

Laboratory TypePharmacy

Certificate Effective DateJuly 23, 2024

Certificate Expiration DateJuly 22, 2026

Laboratory DirectorPaul R. Tillman

Laboratory Phone(470) 252-3009

Laboratory LocationWalgreens 21594584 Lanier Park Drive, Gainesville, GA 30501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ENT,SINUS&ALLERGY SPECIALISTS

Otolaryngology (Otolaryngic Allergy)