WALGREENS #17020
NPI 1841716784
Pharmacy in Rock Hill, SC

Active since August 22, 2017CLIA 42D2231373 · Waiver
1295 E MAIN ST, ROCK HILL, SC 29730(803) 324-7563(803) 980-6109 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2022, Apr 29, 2019, Aug 22, 2017 (3 updates tracked since 2017).

About Walgreens #17020 NPPES

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

WALGREENS #17020 (NPI 1841716784) is a healthcare organization registered as a pharmacy in Rock Hill, South Carolina and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 2, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1841716784
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address1295 E MAIN STRock Hill, SC 29730-5947
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Fax(803) 980-6109
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 22, 2017
Last NPPES UpdateMay 9, 20223 updates tracked since enumeration
NPPES CertifiedMay 9, 2022
NPI 1841716784 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
1295 E MAIN ST, Rock Hill, SC 29730

Other Names 1

Doing Business AsWalgreens #17020

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 42D2231373

Walgreens #17020 · Rock Hill, SC
Active · expires Aug 2, 2027
CLIA Number42D2231373
Laboratory TypePharmacy
Certificate Effective DateAugust 3, 2025
Certificate Expiration DateAugust 2, 2027
Laboratory DirectorKiran D. Ravadi
Laboratory Phone(803) 324-7563
Laboratory LocationWalgreens #170201295 E Main St, Rock Hill, SC 29730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #17020 carries, from the Medicare DMEPOS supplier directory.

Walgreens #17020

DMEPOS supplier · Rock Hill, SCOperated by Walgreen Co

Accepts Medicare assignment

Walgreens #17020 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)20401421
Medicare Participant SinceMarch 1, 2022
Supplier Location1295 E Main StRock Hill, SC 29730
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 7

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

Pharmacist
1295 E MAIN ST
ROCK HILL, SC 29730
Pharmacist
1295 E MAIN ST
ROCK HILL, SC 29730
Pharmacist
1295 E MAIN ST
ROCK HILL, SC 29730
Pharmacist
1295 E MAIN ST
ROCK HILL, SC 29730
Pharmacist
1295 E MAIN ST
ROCK HILL, SC 29730
Pharmacist
1295 E MAIN ST
ROCK HILL, SC 29730
Pharmacist
1295 E MAIN ST
ROCK HILL, SC 29730

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 1841716784. It was assigned to this organization in the NPPES registry on August 22, 2017. The provider is doing business as Walgreens #17020.

Where is Walgreen Co located?

Walgreen Co is located at 1295 E Main St, Rock Hill, SC 29730. The listed phone number is (803) 324-7563.

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 #17020 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 42D2231373) is associated with this NPI, valid through August 2, 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 May 9, 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.