WALGREENS #17076
NPI 1831616598
Pharmacy in Rutherfordton, NC

Active since August 24, 2017CLIA 34D2216551 · Waiver
121 RAILROAD AVE, RUTHERFORDTON, NC 28139(828) 286-9133(828) 287-9972 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 10, 2022, Apr 10, 2019, May 11, 2018 and 1 more (4 updates tracked since 2017).

About Walgreens #17076 NPPES

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

WALGREENS #17076 (NPI 1831616598) is a healthcare organization registered as a pharmacy in Rutherfordton, North Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Kira Taylor, Manager, as its authorized official.Information from the official NPPES registry record, last updated May 10, 2022.

NPPES Registry Identity

NPI1831616598
Entity TypeOrganization
Legal Business NameWALGREEN CO
Location Address121 RAILROAD AVERutherfordton, NC 28139-2936
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(828) 287-9972
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 24, 2017
Last NPPES UpdateMay 10, 20224 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
NPI 1831616598 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pharmacy

Taxonomy 333600000X · Suppliers

Licensed in NC · 13472

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a… Show more

Also Listed

Pharmacy · Community/Retail Pharmacy

Taxonomy 3336C0003X · Suppliers

121 RAILROAD AVE, Rutherfordton, NC 28139

Also on File with NPPES

Other Names1
Walgreens #17076 (Doing Business As)
Other Identifiers2
1831616598 (Medicaid, NC)
3468003 (Other, NC, Ncpdp)

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20396489
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
34D2216551
Facility Type
Pharmacy
Certificate Effective Date
March 14, 2025
Certificate Expiration Date
March 13, 2027
Laboratory Director
LINDSEY M. GRANT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens #17076 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.

Reviews for WALGREENS #17076

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pharmacist
121 RAILROAD AVE
RUTHERFORDTON, NC 28139
Pharmacist
121 RAILROAD AVE
RUTHERFORDTON, NC 28139
Pharmacist
121 RAILROAD AVE
RUTHERFORDTON, NC 28139
Pharmacist
121 RAILROAD AVE
RUTHERFORDTON, NC 28139

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831616598, enumerated as an "organization" on August 24, 2017.

The provider is located at 121 RAILROAD AVE RUTHERFORDTON, NC 28139 and the phone number is (828) 286-9133.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.