Walgreen Co
Walgreen Co is a healthcare organization registered as Pharmacy in Vidalia, GA, holding Type 2 (organization) NPI 1457874034 since 2017. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1457874034 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Co |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 1108 E 1ST ST, Vidalia, GA, 30474 |
| Phone | 9125380311 |
| Fax | 9125388054 |
| Enumeration date | 2017-07-25 |
| Last updated in NPPES | 2020-05-15 |
Authorized official
| Name | Kira Taylor |
|---|---|
| Title | Manager |
| Phone | 2177092351 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | PHRE010448 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003104266A | Medicaid | GA | — |
| 1170567 | Other | GA | NCPDP |
Copy-ready billing details
Provider: Walgreen Co NPI: 1457874034 Taxonomy: 333600000X (Pharmacy) Address: 1108 E 1ST ST, Vidalia, GA, 30474
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1760506638 | Jennifer Corley | Individual | Pharmacist | Vidalia, GA |
| 1700184371 | Rohit Patel | Individual | Pharmacist | Vidalia, GA |
| 1992004048 | John Peery | Individual | Pharmacist | Vidalia, GA |
| 1780036624 | Mary Frederick | Individual | Pharmacist | Vidalia, GA |
Verify this record
Cross-check NPI 1457874034 against the authoritative CMS record: view Walgreen Co on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Walgreen Co?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-05-15.