WALGREENS #09272
NPI 1669420030
Pharmacy in Marietta, GA

Active since May 05, 2006CLIA 11D2023009 · Waiver
1733 MACLAND RD SW, MARIETTA, GA 30064(770) 499-7021 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2022, Dec 30, 2015 (2 updates tracked since 2015).

About Walgreens #09272 NPPES

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

WALGREENS #09272 (NPI 1669420030) is a healthcare organization registered as a pharmacy in Marietta, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1669420030
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1733 MACLAND RD SWMarietta, GA 30064-4109
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 10, 20222 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
NPI 1669420030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE009023
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
1733 MACLAND RD SW, Marietta, GA 30064

Other Names 1

Doing Business AsWalgreens #09272

Other Identifiers 2

Medicaid612945086AGA
Other1154070Other Id Number-commercial Number

Accepted 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 11D2023009

Walgreens #09272 · Marietta, GA
Active · expires Apr 6, 2027
CLIA Number11D2023009
Laboratory TypePharmacy
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorPratima S. Patel
Laboratory Phone(770) 499-7021
Laboratory LocationWalgreens #092721733 Macland Road, SW, Marietta, GA 30064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
67 services66 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.
59 services58 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Marietta, GA

Accepts Medicare assignment

Walgreen Co 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)20372255
Medicare Participant SinceMarch 1, 2022
Supplier Location1733 Macland Rd SWMarietta, GA 30064
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.

Pharmacist
1733 MACLAND RD SW
MARIETTA, GA 30064
Pharmacist
1733 MACLAND RD SW
MARIETTA, GA 30064
Pharmacist
1733 MACLAND RD SW
MARIETTA, GA 30064
Pharmacist
1733 MACLAND RD SW
MARIETTA, GA 30064
Pharmacist
1733 MACLAND RD SW
MARIETTA, GA 30064

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 1669420030. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Walgreens #09272.

Where is Walgreen Co located?

Walgreen Co is located at 1733 Macland Rd SW, Marietta, GA 30064. The listed phone number is (770) 499-7021.

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, Walgreen Co accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Co hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2023009) is associated with this NPI, valid through April 6, 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 June 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.