WALGREENS #17562
NPI 1407379217
Pharmacy in Calhoun, GA

Active since July 24, 2017CLIA 11D2242523 · Waiver
910 S WALL ST, CALHOUN, GA 30701(706) 602-8008(706) 602-3723 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 13, 2022, Nov 28, 2018, Apr 30, 2018 and 1 more (4 updates tracked since 2017).

About Walgreens #17562 NPPES

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

WALGREENS #17562 (NPI 1407379217) is a healthcare organization registered as a pharmacy in Calhoun, Georgia and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1407379217
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address910 S WALL STCalhoun, GA 30701-2620
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(706) 602-3723
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 24, 2017
Last NPPES UpdateMay 13, 20224 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
NPI 1407379217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE010508
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
910 S WALL ST, Calhoun, GA 30701

Other Names 1

Doing Business AsWalgreens #17562

Other Identifiers 2

Other1171177GA · Ncpdp
Medicaid000770712AGA

Accepted 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 11D2242523

Walgreens #17562 · Calhoun, GA
Active · expires Nov 8, 2027
CLIA Number11D2242523
Laboratory TypePharmacy
Certificate Effective DateNovember 9, 2025
Certificate Expiration DateNovember 8, 2027
Laboratory DirectorHollie Taylor
Laboratory Phone(706) 602-8008
Laboratory LocationWalgreens #17562910 South Wall Street, Calhoun, GA 30701
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

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

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.

This service was performed 91 times for 91 patients

Influenza vaccine split virus, preservative free

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.

This service was performed 47 times for 47 patients

Influenza vaccine, inactivated

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.

This service was performed 39 times for 39 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20379857
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Other Providers at the Same Location NPPES 3

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

Pharmacist
910 S WALL ST
CALHOUN, GA 30701
Pharmacist
910 S WALL ST
CALHOUN, GA 30701
Pharmacist
910 S WALL ST
CALHOUN, GA 30701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407379217, enumerated as an "organization" on July 24, 2017.

The provider is located at 910 S WALL ST CALHOUN, GA 30701 and the phone number is (706) 602-8008.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.