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WALGREENS #17014
NPI 1518483635
Pharmacy in Charlotte, NC

Active since August 21, 2017CLIA 34D2290179 · Waiver
3534 MOUNT HOLLY HUNTERSVILLE RD, CHARLOTTE, NC 28216(704) 399-5823(704) 399-7608 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2022, Mar 12, 2019, May 11, 2018 and 1 more (4 updates tracked since 2017).

About Walgreens #17014 NPPES

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

WALGREENS #17014 (NPI 1518483635) is a healthcare organization registered as a pharmacy in Charlotte, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1518483635
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3534 MOUNT HOLLY HUNTERSVILLE RDCharlotte, NC 28216-8644
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(704) 399-5823
Fax(704) 399-7608
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 21, 2017
Last NPPES UpdateMay 9, 20224 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
✔ NPI 1518483635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NC · 13480
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
3534 MOUNT HOLLY HUNTERSVILLE RD, Charlotte, NC 28216
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Other Names 1

Doing Business AsWalgreens #17014

Other Identifiers 2

Medicaid1518483635NC
Other3467998NC · Ncpdp

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 34D2290179

Walgreens 17014 · Charlotte, NC
Active · expires Sep 20, 2027
CLIA Number34D2290179
Laboratory TypePharmacy
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorJeffcey Mumford
Laboratory Phone(704) 399-5823
Laboratory LocationWalgreens 170143534 Mt Holly-Huntersville Rd, Charlotte, NC 28216
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

JOSEPH CICCARELLO PHARM.D., M.B.A.
Pharmacist
3534 MOUNT HOLLY HUNTERSVILLE RD
CHARLOTTE, NC 28216
Mecklenburg County (704) 399-5823
ZAKERY JON FREESE PHARMD.
Pharmacist
3534 MOUNT HOLLY HUNTERSVILLE RD
CHARLOTTE, NC 28216
Mecklenburg County (704) 399-5823
MARTHA BUMGARDNER RPH
Pharmacist
3534 MOUNT HOLLY HUNTERSVILLE RD
CHARLOTTE, NC 28216
Mecklenburg County (704) 399-5823
MR. MARK S SHEPPARD RPH
Pharmacist
3534 MOUNT HOLLY HUNTERSVILLE RD
CHARLOTTE, NC 28216
Mecklenburg County (704) 399-5823

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 1518483635. It was assigned to this organization in the NPPES registry on August 21, 2017. The provider is doing business as Walgreens #17014.

Where is Walgreen Co located?

Walgreen Co is located at 3534 Mount Holly Huntersville Rd, Charlotte, NC 28216. The listed phone number is (704) 399-5823.

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 34D2290179) is associated with this NPI, valid through September 20, 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 from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 33 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 9, 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.