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WALGREENS #21284
NPI 1710529458
Pharmacy in Charlotte, NC

Active since October 15, 2019
200 HAWTHORNE LN STE T1578, CHARLOTTE, NC 28204(704) 384-9065(704) 384-9077 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2024, Apr 8, 2020, Dec 13, 2019 and 2 more (5 updates tracked since 2019).

About Walgreens #21284 NPPES

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

WALGREENS #21284 (NPI 1710529458) is a healthcare organization registered as a pharmacy in Charlotte, North Carolina and active in the NPI registry since October 2019. The organization lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1710529458
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address200 HAWTHORNE LN STE T1578Charlotte, NC 28204-2515
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(704) 384-9065
Fax(704) 384-9077
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateOctober 15, 2019
Last NPPES UpdateJune 5, 20245 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1710529458 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 SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
200 HAWTHORNE LN STE T1578, Charlotte, NC 28204
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Other Names 1

Doing Business AsWalgreens #21284

Other Identifiers 2

Medicaid1710529458NC
Other3472014NC · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #21284 carries, from the Medicare DMEPOS supplier directory.

Walgreens #21284

DMEPOS supplier · Charlotte, NCOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #21284 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)20377283
Medicare Participant SinceMarch 1, 2022
Supplier Location200 Hawthorne Ln Ste T1578Charlotte, NC 28204
Phone(704) 384-9065
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 2

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

BRIA FLETCHER DR
Pharmacist
200 HAWTHORNE LN STE T1578
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-9065
DR. URUNDI T MOORE PHARM.D.
Pharmacist
200 HAWTHORNE LN STE T1578
CHARLOTTE, NC 28204
Mecklenburg County (704) 384-9065

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 1710529458. It was assigned to this organization in the NPPES registry on October 15, 2019. The provider is doing business as Walgreens #21284.

Where is Walgreen Co located?

Walgreen Co is located at 200 Hawthorne Ln Ste T1578, Charlotte, NC 28204. The listed phone number is (704) 384-9065.

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 #21284 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 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 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.