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WALGREENS #06742
NPI 1205841301
Pharmacy in Gastonia, NC

Active since July 29, 2006CLIA 34D2015615 · Waiver
2500 E FRANKLIN BLVD, GASTONIA, NC 28056(704) 867-2474(704) 867-7746 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 9, 2024, May 11, 2022, Dec 1, 2015 (3 updates tracked since 2015).

About Walgreens #06742 NPPES

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

WALGREENS #06742 (NPI 1205841301) is a healthcare organization registered as a pharmacy in Gastonia, North Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1205841301
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address2500 E FRANKLIN BLVDGastonia, NC 28056-7262
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(704) 867-2474
Fax(704) 867-7746
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration
NPPES CertifiedOctober 9, 2024
✔ NPI 1205841301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NC · 8258
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
2500 E FRANKLIN BLVD, Gastonia, NC 28056
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Other Names 1

Doing Business AsWalgreens #06742

Other Identifiers 3

Other3440598Other Id Number-commercial Number
Medicaid7703830 DMENC
Medicaid0366237NC

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 34D2015615

Walgreens #06742 · Gastonia, NC
Active · expires Mar 25, 2027
CLIA Number34D2015615
Laboratory TypePharmacy
Certificate Effective DateMarch 26, 2025
Certificate Expiration DateMarch 25, 2027
Laboratory DirectorRichard V. Davidowitz
Laboratory Phone(704) 867-2474
Laboratory LocationWalgreens #067422500 E Franklin Blvd, Gastonia, NC 28056
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services48 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
35 services35 patients

Other Providers at the Same Location NPPES 4

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

WALGREENS
Pharmacist
2500 E FRANKLIN BLVD
GASTONIA, NC 28056
Gaston County (704) 867-2474
RICHARD DAVIDOWITZ
Pharmacist
2500 E FRANKLIN BLVD
GASTONIA, NC 28056
Gaston County (704) 867-2474
MICHAEL DEDMOND PHARMD
Pharmacist
2500 E FRANKLIN BLVD
GASTONIA, NC 28056
Gaston County (704) 867-2474
MR. MARK EUGENE DEAVER
Student in an Organized Health Care Education/Training Program
2500 E FRANKLIN BLVD
GASTONIA, NC 28056
Gaston County (704) 867-2474

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 1205841301. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #06742.

Where is Walgreen Co located?

Walgreen Co is located at 2500 E Franklin Blvd, Gastonia, NC 28056. The listed phone number is (704) 867-2474.

What is Walgreen Co's specialty?

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

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2015615) is associated with this NPI, valid through March 25, 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 October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.