WALGREEN CO NPI 1861537748

NPI Information

NPI: 1861537748
Provider Name: WALGREEN CO
Classification: Pharmacy - 3336M0003X
Specialization: Managed Care Organization Pharmacy
Entity Type: Organization
Doing Business As: FIELDALE FARMS FAMILY HEALTH CARE CENTER & PHARMACY
CLIA Number: 11D2116568
Address: 184 PROFESSIONAL DR UNIT B
BALDWIN, GA
ZIP 30511
Phone: (866) 894-2283

Map and Directions

Get Directions

NPI Details

WALGREEN CO is a managed care organization pharmacy pharmacy in Baldwin, GA. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. WALGREEN CO NPI is 1861537748. The provider is registered as an organization entity type.
The provider Is Doing Business As Fieldale Farms Family Health Care Center & Pharmacy.

The provider's business location address is:

184 PROFESSIONAL DR UNIT B
BALDWIN, GA
ZIP 30511-012
Phone: (866) 894-2283
Fax: (706) 894-2717

The provider's authorized official is Kira Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The CLIA number assigned to this NPI record is 11D2116568 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	333600000X	Pharmacy		PHRE008894	GEORGIA	No
3	3336M0003X	Pharmacy	Managed Care Organization Pharmacy	PHRE008894	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1152684	OTHER		NCPDP NO.
2	PHRE008894	OTHER	GEORGIA	STATE LICENSE NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI