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WALGREEN CO
NPI 1467467464
Pharmacy in Hermitage, TN

Active since July 29, 2006CLIA Certified · 2 labs
400 TULIP GROVE RD, HERMITAGE, TN 37076(615) 391-0151 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2025, Apr 22, 2022, Apr 20, 2017 and 1 more (4 updates tracked since 2015).

About Walgreen Co NPPES

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

WALGREEN CO (NPI 1467467464), doing business as Walgreens #05065, is a healthcare organization registered as a pharmacy in Hermitage, Tennessee and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1467467464
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address400 TULIP GROVE RDHermitage, TN 37076-1750
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4515 · (847) 527-2489 · Fax (217) 709-2344
Phone(615) 391-0151
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateSeptember 5, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1467467464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in TN · C1928
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
400 TULIP GROVE RD, Hermitage, TN 37076
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Other Names 1

Doing Business AsWalgreens #05065

Other Identifiers 2

Other4423909Other Id Number-commercial Number
Medicaid9448398TN

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 2

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 44D2033684

Walgreens #5065 · Hermitage, TN
Active · expires Dec 16, 2026
CLIA Number44D2033684
Laboratory TypePharmacy
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorJohn M. Frederick
Laboratory Phone(615) 391-0151
Laboratory LocationWalgreens #5065400 Tulip Grove Rd, Hermitage, TN 37076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2191384

Walgreens # 07584 · West Haven, CT
Active · expires Aug 25, 2026
CLIA Number07D2191384
Laboratory TypeCovid 19 Test Site
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorBrianna D Arpie Otfinoski
Laboratory Phone(615) 391-0151
Laboratory LocationWalgreens # 07584394 Campbell Ave, West Haven, CT 06516
CLIA data matches this NPI record on: 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.
131 services131 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.
92 services92 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.
32 services32 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.
15 services15 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.
15 services15 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #5065 carries, from the Medicare DMEPOS supplier directory.

Walgreens #5065

DMEPOS supplier · Hermitage, TNOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #5065 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20357453
Medicare Participant SinceMarch 1, 2022
Supplier Location400 Tulip Grove RdHermitage, TN 37076
Phone(615) 391-0151
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

YETUNDE ALOBA
Pharmacist
400 TULIP GROVE RD
HERMITAGE, TN 37076
Davidson County (615) 391-0151
CHERYL ANNE BASHAM
Pharmacist
400 TULIP GROVE RD
HERMITAGE, TN 37076
Davidson County (615) 391-0151
AHMED I M HUSSIEN
Pharmacist
400 TULIP GROVE RD
HERMITAGE, TN 37076
Davidson County (270) 992-2176
RONALD CALDWELL NORRIS RPH
Pharmacist
400 TULIP GROVE RD
HERMITAGE, TN 37076
Davidson County (615) 391-0105
TANNER HARPOLE PHARMD
Pharmacist
400 TULIP GROVE RD
HERMITAGE, TN 37076
Davidson County (615) 391-0151

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 1467467464. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #05065.

Where is Walgreen Co located?

Walgreen Co is located at 400 Tulip Grove Rd, Hermitage, TN 37076. The listed phone number is (615) 391-0151.

What is Walgreen Co's specialty?

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

Does Walgreen Co accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #5065 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 42 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 September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.