WALGREENS
NPI 1760765713
Pharmacy in Gainesville, GA

NPI Status: Active since September 27, 2011

Contact Information

472 S ENOTA DR NE
GAINESVILLE, GA
ZIP 30501
Phone: (770) 535-3750

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  • Organization
  • Pharmacy
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 11D2028567
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 08-28-2027

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Gainesville, Georgia operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1760765713 assigned on September 2011. The practitioner's primary taxonomy code is 333600000X with license number BW9581984 (GA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Jeff Baker (Store Manager)

NPI
1760765713
Provider Name
WALGREENS
Entity Type
Organization
Location Address
472 S ENOTA DR NE GAINESVILLE, GA 30501
Location Phone
(770) 535-3750
Mailing Address
472 S ENOTA DR NE GAINESVILLE, GA 30501
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2011
Last Update Date
09-27-2011
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Walgreens is a medicare supplier with PTAN 20354045 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
BW9581984
License State
GA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFF BAKER

Authorized Official Title
STORE MANAGER
Authorized Official Phone
(770) 535-3750

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20354045
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • 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
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2028567
Facility Type
Pharmacy
Certificate Effective Date
August 29, 2025
Certificate Expiration Date
August 28, 2027
Laboratory Director
MATTHEW S. OWENS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760765713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 1 + 4 + 6 + 1 + 0 + 7 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1760765713.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pharmacist
472 S ENOTA DR NE
GAINESVILLE, GA 30501
Pharmacist
472 S ENOTA DR NE
GAINESVILLE, GA 30501
Pharmacist
472 S ENOTA DR NE
GAINESVILLE, GA 30501
Pharmacist
472 S ENOTA DR NE
GAINESVILLE, GA 30501
Pharmacist
472 S ENOTA DR NE
GAINESVILLE, GA 30501
Pharmacy
472 S ENOTA DR NE
GAINESVILLE, GA 30501
Pharmacist
472 S ENOTA DR NE
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760765713, enumerated as an "organization" on September 27, 2011.

The provider is located at 472 S ENOTA DR NE GAINESVILLE, GA 30501 and the phone number is (770) 535-3750.

Pharmacy with taxonomy code 333600000X.