WALGREENS #19735
NPI 1841716586
Pharmacy in Augusta, GA

Active since August 15, 2017CLIA 11D2214245 · Waiver
3650 WHEELER RD, AUGUSTA, GA 30909(706) 210-7991(706) 210-7508 Get Directions Write a Review

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

Record update history: Jun 10, 2022, Apr 2, 2019, Apr 30, 2018 and 1 more (4 updates tracked since 2017).

About Walgreens #19735 NPPES

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

WALGREENS #19735 (NPI 1841716586) is a healthcare organization registered as a pharmacy in Augusta, Georgia and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1841716586
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address3650 WHEELER RDAugusta, GA 30909-6520
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(706) 210-7508
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 15, 2017
Last NPPES UpdateJune 10, 20224 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
NPI 1841716586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in GA · PHRE010464
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
3650 WHEELER RD, Augusta, GA 30909

Other Names 1

Doing Business AsWalgreens #19735

Other Identifiers 2

Medicaid018489711HGA
Other1170834GA · Ncpdp

Accepted 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 11D2214245

Walgreens #19735 · Augusta, GA
Active · expires Feb 21, 2027
CLIA Number11D2214245
Laboratory TypePharmacy
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorWilliam Park
Laboratory Phone(706) 210-7991
Laboratory LocationWalgreens #197353650 Wheeler Road, Augusta, GA 30909
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 · Augusta, GA

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)20380763
Medicare Participant SinceMarch 1, 2022
Supplier Location3650 Wheeler RdAugusta, GA 30909
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 17

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

Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909
Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909
Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909
Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909
Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909
Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909
Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909
Pharmacist
3650 WHEELER RD
AUGUSTA, GA 30909

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841716586, enumerated as an "organization" on August 15, 2017.

The provider is located at 3650 WHEELER RD AUGUSTA, GA 30909 and the phone number is (706) 210-7991.

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.