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WALGREENS #17618
NPI 1447776521
Pharmacy in Rural Hall, NC

Active since August 21, 2017CLIA 34D2239204 · Waiver
995 BETHANIA RURAL HALL RD, RURAL HALL, NC 27045(336) 969-9153(336) 969-0452 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 13, 2022, Feb 22, 2019, Sep 11, 2017 and 1 more (4 updates tracked since 2017).

About Walgreens #17618 NPPES

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

WALGREENS #17618 (NPI 1447776521) is a healthcare organization registered as a pharmacy in Rural Hall, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1447776521
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address995 BETHANIA RURAL HALL RDRural Hall, NC 27045-9554
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(336) 969-9153
Fax(336) 969-0452
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 21, 2017
Last NPPES UpdateMay 13, 20224 updates tracked since enumeration
NPPES CertifiedMay 13, 2022
✔ NPI 1447776521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
995 BETHANIA RURAL HALL RD, Rural Hall, NC 27045
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Other Names 1

Doing Business AsWalgreens #17618

Other Identifiers 2

Other3468483NC · Ncpdp
Medicaid1447776521NC

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 34D2239204

Walgreens #17618 · Rural Hall, NC
Active · expires Oct 10, 2027
CLIA Number34D2239204
Laboratory TypePharmacy
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorVictor Mukungu
Laboratory Phone(336) 969-9153
Laboratory LocationWalgreens #17618995 Bethania Rural Hall Road, Rural Hall, NC 27045
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

WALGREEN CO
Pharmacy
995 BETHANIA RURAL HALL RD
RURAL HALL, NC 27045
Forsyth County (336) 969-9153
DR. JULIE ANN MARKS PHARMD
Pharmacist
995 BETHANIA RURAL HALL RD
RURAL HALL, NC 27045
Forsyth County (336) 969-9153
BRITTANY BETHEA
Pharmacy Technician
995 BETHANIA RURAL HALL RD
RURAL HALL, NC 27045
Forsyth County (336) 969-9153
DR. LORI E KISER PHARMD
Pharmacist
995 BETHANIA RURAL HALL RD
RURAL HALL, NC 27045
Forsyth County (336) 969-9153
MICHAEL EUGENE JONES PHARMD
Pharmacy
995 BETHANIA RURAL HALL RD
RURAL HALL, NC 27045
Forsyth County (336) 969-9153

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 1447776521. It was assigned to this organization in the NPPES registry on August 21, 2017. The provider is doing business as Walgreens #17618.

Where is Walgreen Co located?

Walgreen Co is located at 995 Bethania Rural Hall Rd, Rural Hall, NC 27045. The listed phone number is (336) 969-9153.

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 34D2239204) is associated with this NPI, valid through October 10, 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 May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.