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WALGREENS #09761
NPI 1912198169
Pharmacy in Mullins, SC

Active since August 05, 2007
502 GAPWAY ST, MULLINS, SC 29574(843) 464-0118 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2016, Dec 31, 2015 (2 updates tracked since 2015).

About Walgreens #09761 NPPES

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

WALGREENS #09761 (NPI 1912198169) is a healthcare organization registered as a pharmacy in Mullins, South Carolina and active in the NPI registry since August 2007. The organization lists Alan T Nielsen, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1912198169
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address502 GAPWAY STMullins, SC 29574-3414
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(843) 464-0118
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialAlan T NielsenTreasurer · (847) 315-3523
Enumeration DateAugust 5, 2007
Last NPPES UpdateAugust 30, 20162 updates tracked since enumeration
✔ NPI 1912198169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in SC · 50009603
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
502 GAPWAY ST, Mullins, SC 29574
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Other Names 1

Doing Business AsWalgreens #09761

Other Identifiers 6

Medicare PINPHC049
Medicare PINP00400633
MedicaidDE3057 DMESC
Medicare NSC0282935942
Other4227080Ncpdp
Medicaid715758SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 3

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

DOUGLAS RAY FLOYD RPH
Pharmacist
502 GAPWAY ST
MULLINS, SC 29574
Marion County (843) 464-0118
MRS. MARGARET C ASKINS
Pharmacist
502 GAPWAY ST
MULLINS, SC 29574
Marion County (843) 464-0118
DR. ANDY Y JUN PHARM D
Pharmacist
502 GAPWAY ST
MULLINS, SC 29574
Marion County (843) 464-0118

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 1912198169. It was assigned to this organization in the NPPES registry on August 5, 2007. The provider is doing business as Walgreens #09761.

Where is Walgreen Co located?

Walgreen Co is located at 502 Gapway St, Mullins, SC 29574. The listed phone number is (843) 464-0118.

What is Walgreen Co's specialty?

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

What insurance does Walgreen Co accept?

Health plans from Medica 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 August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.