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WALGREENS #17554
NPI 1518484559
Pharmacy in Southern Pines, NC

Active since August 29, 2017CLIA 34D2223807 · Waiver
1736 OLD MORGANTON RD, SOUTHERN PINES, NC 28387(910) 692-7158(910) 692-0748 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 8, 2023, Mar 19, 2019, Aug 29, 2017 (3 updates tracked since 2017).

About Walgreens #17554 NPPES

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

WALGREENS #17554 (NPI 1518484559) is a healthcare organization registered as a pharmacy in Southern Pines, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1518484559
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1736 OLD MORGANTON RDSouthern Pines, NC 28387
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(910) 692-7158
Fax(910) 692-0748
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateAugust 29, 2017
Last NPPES UpdateSeptember 8, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1518484559 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 Supplies · Customized EquipmentTaxonomy 332BC3200X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1736 OLD MORGANTON RD, Southern Pines, NC 28387
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Other Names 1

Doing Business AsWalgreens #17554

Other Identifiers 2

Other3468990NC · Ncpdp
Medicaid1518484559NC

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 34D2223807

Walgreens #17554 · Southern Pines, NC
Active · expires May 9, 2027
CLIA Number34D2223807
Laboratory TypePharmacy
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorKennedy L. Lieberman
Laboratory Phone(910) 692-7158
Laboratory LocationWalgreens #175541736 Old Morganton Rd, Southern Pines, NC 28387
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1518484559. It was assigned to this organization in the NPPES registry on August 29, 2017. The provider is doing business as Walgreens #17554.

Where is Walgreen Co located?

Walgreen Co is located at 1736 Old Morganton Rd, Southern Pines, NC 28387. The listed phone number is (910) 692-7158.

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 34D2223807) is associated with this NPI, valid through May 9, 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 September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.