Walgreen Co
NPI 1033124383ActiveOrganization· Pharmacy· Glendale, AZ
Pharmacy in Glendale, Arizona, registered in NPPES in July 2006, part of Walgreen Co. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $61,132 for services to 229 patients in 2024.
Overview
| NPI | 1033124383 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreen Co |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Mar 27, 2025 |
| Certified by provider | Mar 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | Y02961 | AZ |
| 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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 229 |
|---|---|
| Services billed | 780 across 11 procedure codes |
| Paid by Medicare | $61,132 |
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