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WALGREENS SPECIALTY PHARMACY #15131
NPI 1477847275
Pharmacy in Lawrenceville, GA

Active since June 09, 2011
631 PROFESSIONAL DR STE 100, LAWRENCEVILLE, GA 30046(770) 339-2029(770) 339-7385 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2022, Aug 17, 2018, Oct 14, 2016 and 1 more (4 updates tracked since 2016).

About Walgreens Specialty Pharmacy #15131 NPPES

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

WALGREENS SPECIALTY PHARMACY #15131 (NPI 1477847275) is a healthcare organization registered as a pharmacy in Lawrenceville, Georgia and active in the NPI registry since June 2011. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1477847275
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address631 PROFESSIONAL DR STE 100Lawrenceville, GA 30046
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(770) 339-2029
Fax(770) 339-7385
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJune 9, 2011
Last NPPES UpdateNovember 26, 20244 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1477847275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in GA · PHRE009774
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
631 PROFESSIONAL DR STE 100, Lawrenceville, GA 30046
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #15131

Other Identifiers 3

Medicaid003113828AGA
Other1161544GA · Ncpdp
Medicaid7G9774SC

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 ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #15131 carries, from the Medicare DMEPOS supplier directory.

Walgreens #15131

DMEPOS supplier · Lawrenceville, GAOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #15131 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)20384249
Medicare Participant SinceMarch 1, 2022
Supplier Location631 Professional Dr Ste 100Lawrenceville, GA 30046
Phone(770) 339-2029
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 11

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

DEEPTI G. PATEL PHARMD
Pharmacist
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2029
MRS. NGOC LAM THAI HOANG
Pharmacist
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2029
JENNIFER LEE POWERS PHARMD
Pharmacist
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2029
DR. VICTORIA ANA ARAUJO PHARMD
Pharmacist
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2029
WILLIAM TAYLOR TRUELOVE
Pharmacist
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2029
ERIK BADEL
Pharmacy Technician
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2029
ERICA GRAY PHARMD
Pharmacist
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2029
MUDIT CHOWDHARY MD
Radiology (Radiation Oncology)
631 PROFESSIONAL DR STE 100
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 851-8850

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 1477847275. It was assigned to this organization in the NPPES registry on June 9, 2011. The provider is doing business as Walgreens Specialty Pharmacy #15131.

Where is Walgreen Co located?

Walgreen Co is located at 631 Professional Dr Ste 100, Lawrenceville, GA 30046. The listed phone number is (770) 339-2029.

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 #15131 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

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 November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.