Walgreen Co
NPI 1750804589ActiveOrganization· Pharmacy· East Ellijay, GA
Pharmacy in East Ellijay, Georgia, registered in NPPES in July 2017, part of Walgreens Boots Alliance Inc. The authorized official on file is Kira Taylor, Manager. Medicare paid $3,119 for services to 18 patients in 2024.
Overview
| NPI | 1750804589 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Jul 24, 2017 |
| Last updated in NPPES | May 16, 2022 |
| Certified by provider | May 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHARE010563 | GA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 36 across 7 procedure codes |
| Paid by Medicare | $3,119 |
Other Pharmacy providers in East Ellijay
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