1. Home
  2. Directory
  3. Georgia
  4. Vidalia
  5. Pharmacy
  6. NPI Profile

WALGREENS #18184
NPI 1457874034
Pharmacy in Vidalia, GA

Active since July 25, 2017
1108 E 1ST ST, VIDALIA, GA 30474(912) 538-0311(912) 538-8054 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2020, Apr 30, 2018, Jul 25, 2017 (3 updates tracked since 2017).

About Walgreens #18184 NPPES

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

WALGREENS #18184 (NPI 1457874034) is a healthcare organization registered as a pharmacy in Vidalia, Georgia and active in the NPI registry since July 2017. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1457874034
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1108 E 1ST STVidalia, GA 30474-4206
Mailing Address1901 E Voorhees St # Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(912) 538-0311
Fax(912) 538-8054
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 25, 2017
Last NPPES UpdateMay 15, 20203 updates tracked since enumeration
NPPES CertifiedMay 15, 2020
✔ NPI 1457874034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE010448
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
1108 E 1ST ST, Vidalia, GA 30474
Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #18184

Other Identifiers 2

Medicaid003104266AGA
Other1170567GA · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 4

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

ROHIT GOVINDBHAI PATEL RPH
Pharmacist
1108 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 538-0311
DR. JENNIFER LYNN CORLEY PHARM.D.
Pharmacist
1108 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 538-0311
MARY FREDERICK
Pharmacist
1108 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 538-0311
JOHN PEERY RPH
Pharmacist
1108 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 538-0311

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 1457874034. It was assigned to this organization in the NPPES registry on July 25, 2017. The provider is doing business as Walgreens #18184.

Where is Walgreen Co located?

Walgreen Co is located at 1108 E 1st St, Vidalia, GA 30474. The listed phone number is (912) 538-0311.

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 May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.