WALGREENS
NPI 1760763015
Pharmacy - Community/Retail Pharmacy in Alpharetta, GA

NPI Status: Active since August 31, 2011

Contact Information

455 WAKEFIELD TRCE
ALPHARETTA, GA
ZIP 30004
Phone: (404) 395-3225

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • CLIA Number: 11D2034239
  • CLIA Cert. Type: Pharmacy
  • CLIA Exp. Date: 10-11-2025

About WALGREENS

This page provides the complete NPI Profile along with additional information for Walgreens, a provider established in Alpharetta, Georgia operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1760763015 assigned on August 2011. The practitioner's primary taxonomy code is 3336C0003X with license number PHTC001709 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Marcus Dennis (Senior Pharmacy Technician)

NPI
1760763015
Provider Name
WALGREENS
Entity Type
Organization
Location Address
455 WAKEFIELD TRCE ALPHARETTA, GA 30004
Location Phone
(404) 395-3225
Mailing Address
455 WAKEFIELD TRCE ALPHARETTA, GA 30004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2011
Last Update Date
08-31-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
PHTC001709
License State
GA
Taxonomy Description
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARCUS DENNIS

Authorized Official Title
SENIOR PHARMACY TECHNICIAN
Authorized Official Phone
(404) 395-3225

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2034239
Facility Type
Pharmacy
Certificate Effective Date
October 12, 2023
Certificate Expiration Date
October 11, 2025
Laboratory Director
BOYUN CHOI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Walgreens to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760763015
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120146602
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 4 + 6 + 6 + 0 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1760763015 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760763015, enumerated in the NPI registry as an "organization" on August 31, 2011

The provider is located at 455 Wakefield Trce Alpharetta, Ga 30004 and the phone number is (404) 395-3225

This medical organization specializes in Pharmacy with taxonomy code 3336C0003X with a focus in Community/Retail Pharmacy

The provider's CLIA number is 11D2034239 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on August 31, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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