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WALGREENS #19403
NPI 1821516543
Pharmacy in Raleigh, NC

Active since September 01, 2017CLIA 34D2238929 · Waiver
3432 EDWARDS MILL RD, RALEIGH, NC 27612(919) 781-9571(919) 781-9005 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2022, May 7, 2019, Sep 1, 2017 (3 updates tracked since 2017).

About Walgreens #19403 NPPES

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

WALGREENS #19403 (NPI 1821516543) is a healthcare organization registered as a pharmacy in Raleigh, North Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1821516543
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3432 EDWARDS MILL RDRaleigh, NC 27612-5360
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(919) 781-9571
Fax(919) 781-9005
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateSeptember 1, 2017
Last NPPES UpdateJune 8, 20223 updates tracked since enumeration
NPPES CertifiedJune 8, 2022
✔ NPI 1821516543 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
3432 EDWARDS MILL RD, Raleigh, NC 27612
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Other Names 1

Doing Business AsWalgreens #19403

Other Identifiers 2

Other3470096NC · Ncpdp
Medicaid1821516543NC

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 34D2238929

Walgreens # 19403 · Raleigh, NC
Active · expires Oct 6, 2027
CLIA Number34D2238929
Laboratory TypePharmacy
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorHitesh R. Patel
Laboratory Phone(919) 781-9571
Laboratory LocationWalgreens # 194033432 Edwards Mill Road, Raleigh, NC 27612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #19403 carries, from the Medicare DMEPOS supplier directory.

Walgreens #19403

DMEPOS supplier · Raleigh, NCOperated by Walgreen Co
✔

Accepts Medicare assignment

Walgreens #19403 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)20380073
Medicare Participant SinceMarch 1, 2022
Supplier Location3432 Edwards Mill RdRaleigh, NC 27612
Phone(919) 781-9571
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 6

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

DR. PAULA M DIETRICH PHARMD
Pharmacist
3432 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-9571
THEODORE JAMES SPADER RPH., MSPHAD
Pharmacist
3432 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-9580
DEANNA MUNT RPH
Pharmacist
3432 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-9571
SONG BUI PHARMD
Pharmacist
3432 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-9571
DR. ERICH ANTON ENGEL PHARM.D.
Pharmacist
3432 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-9571
HITESH R PATEL RPH
Pharmacist
3432 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-9571

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 1821516543. It was assigned to this organization in the NPPES registry on September 1, 2017. The provider is doing business as Walgreens #19403.

Where is Walgreen Co located?

Walgreen Co is located at 3432 Edwards Mill Rd, Raleigh, NC 27612. The listed phone number is (919) 781-9571.

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 #19403 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 34D2238929) is associated with this NPI, valid through October 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 8, 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.