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WALGREEN CO
NPI 1396825972
Pharmacy in Valdosta, GA

Active since October 17, 2006CLIA 11D2034595 · Waiver
1800 BAYTREE RD, VALDOSTA, GA 31602(229) 242-4939 Get Directions Write a Review

NPPES record last updated: January 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2026, Dec 30, 2015 (2 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1396825972), doing business as Walgreens #09305, is a healthcare organization registered as a pharmacy in Valdosta, Georgia and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1396825972
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1800 BAYTREE RDValdosta, GA 31602-3552
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(229) 242-4939
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateOctober 17, 2006
Last NPPES UpdateJanuary 24, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2026
✔ NPI 1396825972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE009075
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
1800 BAYTREE RD, Valdosta, GA 31602
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Other Names 1

Doing Business AsWalgreens #09305

Other Identifiers 2

Other1154727Ncpdp
Medicaid462170923AGA

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 11D2034595

Walgreens #9305 · Valdosta, GA
Active · expires Apr 20, 2027
CLIA Number11D2034595
Laboratory TypePharmacy
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorBryan Martin
Laboratory Phone(229) 242-4939
Laboratory LocationWalgreens #93051800 Baytree Road, Valdosta, GA 31602
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 5

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.
89 services87 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.
45 services45 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
36 services36 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
11 services11 patients

Other Providers at the Same Location NPPES 6

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

WALGREENS
Pharmacist
1800 BAYTREE RD
VALDOSTA, GA 31602
Lowndes County (229) 242-3212
HOWARD SCHWEITZER RPH
Pharmacist
1800 BAYTREE RD, PHARMACY MANAGER
VALDOSTA, GA 31602
Lowndes County (229) 242-4939
DR. EMILY GRAY PETTIT PHARM.D.
Pharmacist
1800 BAYTREE RD
VALDOSTA, GA 31602
Lowndes County (229) 242-4939
DR. RONDA C SCOTT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1800 BAYTREE RD
VALDOSTA, GA 31602
Lowndes County (229) 242-4939
WILLIAM MADDOX RPH
Pharmacist
1800 BAYTREE RD
VALDOSTA, GA 31602
Lowndes County (229) 242-4939
MICHAEL CHASE ALTMAN PHARMD
Pharmacist
1800 BAYTREE RD
VALDOSTA, GA 31602
Lowndes County (229) 242-4939

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 1396825972. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Walgreens #09305.

Where is Walgreen Co located?

Walgreen Co is located at 1800 Baytree Rd, Valdosta, GA 31602. The listed phone number is (229) 242-4939.

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 11D2034595) is associated with this NPI, valid through April 20, 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 38 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 January 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.