WALGREENS #19147
NPI 1528582137
Pharmacy in Fitzgerald, GA

Active since July 26, 2017
162 OCILLA HWY STE C, FITZGERALD, GA 31750(229) 423-2039(229) 424-0339 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2022, Dec 17, 2018, Dec 5, 2018 and 2 more (5 updates tracked since 2017).

About Walgreens #19147 NPPES

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

WALGREENS #19147 (NPI 1528582137) is a healthcare organization registered as a pharmacy in Fitzgerald, Georgia and active in the NPI registry since July 2017. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1528582137
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address162 OCILLA HWY STE CFitzgerald, GA 31750-5705
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(229) 424-0339
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 26, 2017
Last NPPES UpdateJune 7, 20225 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
NPI 1528582137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE010436
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
162 OCILLA HWY STE C, Fitzgerald, GA 31750

Other Names 1

Doing Business AsWalgreens #19147

Other Identifiers 2

Medicaid00026496AGA
Other1170707GA · Ncpdp

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacist
162 OCILLA HWY STE C
FITZGERALD, GA 31750

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 1528582137. It was assigned to this organization in the NPPES registry on July 26, 2017. The provider is doing business as Walgreens #19147.

Where is Walgreen Co located?

Walgreen Co is located at 162 Ocilla Hwy Ste C, Fitzgerald, GA 31750. The listed phone number is (229) 423-2039.

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 and Moda Health Plan, Inc. 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 June 7, 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.