Walgreen Co
NPI 1043316425ActiveOrganization· Pharmacy· Rexburg, ID
Pharmacy in Rexburg, Idaho, registered in NPPES in September 2006, part of Walgreens Holding Company. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $63,454 for services to 231 patients in 2024.
Overview
| NPI | 1043316425 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Aug 29, 2026 |
| Certified by provider | Aug 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 38645RP | ID |
| 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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 231 |
|---|---|
| Services billed | 792 across 10 procedure codes |
| Paid by Medicare | $63,454 |
Other Pharmacy providers in Rexburg
- 1043878598