WALGREENS #19865
NPI 1831617232
Pharmacy in Rocky Mount, NC

Q: What is Walgreen Co's NPI number?

The NPI number for Walgreen Co is 1831617232. It was assigned to this organization in the NPPES registry on September 6, 2017. The provider is doing business as Walgreens #19865.

Q: What is Walgreen Co's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: 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.

Active since September 06, 2017CLIA 34D2217432 · Waiver

3590 SUNSET AVE, ROCKY MOUNT, NC 27804(252) 443-5101(252) 443-6027 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, Feb 15, 2019 (2 updates tracked since 2019).

On this page

About Walgreens #19865 NPPES

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

WALGREENS #19865 (NPI 1831617232) is a healthcare organization registered as a pharmacy in Rocky Mount, North Carolina and active in the NPI registry since September 2017. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1831617232

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN CO

Location Address3590 SUNSET AVERocky Mount, NC 27804-3408

Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344

Phone(252) 443-5101

Fax(252) 443-6027

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialKira TaylorManager · (217) 709-2351

Enumeration DateSeptember 6, 2017

Last NPPES UpdateJune 10, 20222 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1831617232 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

3590 SUNSET AVE, Rocky Mount, NC 27804

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #19865

Other Identifiers 2

Other3469699NC · Ncpdp

Medicaid1831617232IL

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 34D2217432

Walgreens # 19865 · Rocky Mount, NC

Active · expires Mar 21, 2027

CLIA Number34D2217432

Laboratory TypePharmacy

Certificate Effective DateMarch 22, 2025

Certificate Expiration DateMarch 21, 2027

Laboratory DirectorIsolda V. Chavarria

Laboratory Phone(252) 443-5101

Laboratory LocationWalgreens # 198653590 Sunset Avenue, Rocky Mount, NC 27804

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 Walgreen Co carries, from the Medicare DMEPOS supplier directory.

Walgreen Co

DMEPOS supplier · Rocky Mount, NC

✔

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)20401049

Medicare Participant SinceMarch 1, 2022

Supplier Location3590 Sunset AveRocky Mount, NC 27804

Phone(252) 443-5101

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.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

NAMRATA DOBARIA

Pharmacist