WALGREENS #17769
NPI 1366965972
Pharmacy in Brookhaven, GA

Active since July 25, 2017
3964 PEACHTREE RD NE, BROOKHAVEN, GA 30319(404) 237-2194(404) 237-0768 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2019, Apr 30, 2018, Jul 25, 2017 (3 updates tracked since 2017).

About Walgreens #17769 NPPES

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

WALGREENS #17769 (NPI 1366965972) is a healthcare organization registered as a pharmacy in Brookhaven, Georgia and active in the NPI registry since July 2017. The organization lists Alyssa Sweeten, Manager, as its authorized official.

NPPES Registry Identity

NPI1366965972
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3964 PEACHTREE RD NEBrookhaven, GA 30319-3304
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Fax(404) 237-0768
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlyssa SweetenManager · (217) 709-2386
Enumeration DateJuly 25, 2017
Last NPPES UpdateApril 16, 20193 updates tracked since enumeration
NPI 1366965972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE010555
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
3964 PEACHTREE RD NE, Brookhaven, GA 30319

Other Names 1

Doing Business AsWalgreens #17769

Other Identifiers 2

Medicaid000206874AGA
Other1171230GA · Ncpdp

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
3964 PEACHTREE RD NE
ATLANTA, GA 30319

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 1366965972. It was assigned to this organization in the NPPES registry on July 25, 2017. The provider is doing business as Walgreens #17769.

Where is Walgreen Co located?

Walgreen Co is located at 3964 Peachtree Rd NE, Brookhaven, GA 30319. The listed phone number is (404) 237-2194.

What is Walgreen Co's specialty?

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

What insurance does Walgreen Co accept?

Health plans from Medica 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 April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.