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WALGREENS
NPI 1235441494
Point of Service in Dalton, GA

Active since July 04, 2010CLIA 11D2034607 · Waiver
804 N TIBBS RD APT 42, DALTON, GA 30720(240) 723-2375 Get Directions Write a Review

NPPES record last updated: July 4, 2010. 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 1235441494) is a healthcare organization registered as a point of service in Dalton, Georgia and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Nita R Patel, Staff Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1235441494
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameWALGREENS
Location Address804 N TIBBS RD APT 42Dalton, GA 30720-2952
Mailing Address804 N Tibbs Rd Apt 42Dalton, GA 30720-2952
Phone(240) 723-2375
Organization SubpartNo
Authorized OfficialNita R PatelStaff Pharmacist · (706) 428-9003
Enumeration DateJuly 4, 2010
✔ NPI 1235441494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License✔ Licensed in GA · RPH023013
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
804 N TIBBS RD APT 42, Dalton, GA 30720
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Other Names 1

Former Legal Business NameWalgreens

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 11D2034607

Walgreens 05954 · Dalton, GA
Active · expires Aug 9, 2027
CLIA Number11D2034607
Laboratory TypePharmacy
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorNita Patel
Laboratory Phone(706) 428-9003
Laboratory LocationWalgreens 059541247 Walnut Avenue, West, Dalton, GA 30720
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1235441494. It was assigned to this organization in the NPPES registry on July 4, 2010.

Where is Walgreens located?

Walgreens is located at 804 N Tibbs Rd Apt 42, Dalton, GA 30720. The listed phone number is (240) 723-2375.

What is Walgreens's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Walgreens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2034607) is associated with this NPI, valid through August 9, 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 Walgreens was last updated on July 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.