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WALGREENS #17922
NPI 1952824971
Pharmacy in Warsaw, VA

Active since July 21, 2017CLIA 49D2290573 · Waiver
4671 RICHMOND RD, WARSAW, VA 22572(804) 333-4122(804) 333-9152 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2022, Dec 13, 2019, Apr 30, 2018 and 5 more (8 updates tracked since 2017).

About Walgreens #17922 NPPES

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

WALGREENS #17922 (NPI 1952824971) is a healthcare organization registered as a pharmacy in Warsaw, Virginia and active in the NPI registry since July 2017. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1952824971
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN CO
Location Address4671 RICHMOND RDWarsaw, VA 22572-3137
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(804) 333-4122
Fax(804) 333-9152
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 21, 2017
Last NPPES UpdateMay 23, 20228 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1952824971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in VA · 0201002949
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
4671 RICHMOND RD, Warsaw, VA 22572
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Other Names 1

Doing Business AsWalgreens #17922

Other Identifiers 2

Other4848620VA · Ncpddp
Medicaid1952824971VA

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 49D2290573

Walgreens 17922 · Warsaw, VA
Active · expires Sep 26, 2027
CLIA Number49D2290573
Laboratory TypePharmacy
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorMichael Ndula
Laboratory Phone(804) 333-4122
Laboratory LocationWalgreens 179224671 Richmond Road, Warsaw, VA 22572
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 · Warsaw, VA
✔

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)20397983
Medicare Participant SinceMarch 1, 2022
Supplier Location4671 Richmond RdWarsaw, VA 22572
Phone(804) 333-4122
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 5

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

SHADY HENARY AZIZ NAMROUD
Pharmacist
4671 RICHMOND RD
WARSAW, VA 22572
Richmond County (804) 333-4122
JHANEE RENAE IVY BROWN
Pharmacy Technician
4671 RICHMOND RD
WARSAW, VA 22572
Richmond County (804) 333-4122
SRINIVAS PEDDI PH.D., R.PH
Pharmacist
4671 RICHMOND RD
WARSAW, VA 22572
Richmond County (804) 333-4122
MAIYAH TRUONG PHARMD
Pharmacist
4671 RICHMOND RD
WARSAW, VA 22572
Richmond County (804) 333-4122
DARLENE BLANTON
Pharmacy Technician
4671 RICHMOND RD
WARSAW, VA 22572
Richmond County (804) 333-4122

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 1952824971. It was assigned to this organization in the NPPES registry on July 21, 2017. The provider is doing business as Walgreens #17922.

Where is Walgreen Co located?

Walgreen Co is located at 4671 Richmond Rd, Warsaw, VA 22572. The listed phone number is (804) 333-4122.

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, Walgreen Co 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 49D2290573) is associated with this NPI, valid through September 26, 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 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.