Walgreen Co
NPI 1053594705ActiveOrganization· Pharmacy· Little Elm, TX
Pharmacy in Little Elm, Texas, registered in NPPES in December 2007, part of Walgreens Boots Alliance. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $45,310 for services to 181 patients in 2024.
Overview
| NPI | 1053594705 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance |
| NPI issued | Dec 17, 2007 |
| Last updated in NPPES | Mar 28, 2025 |
| Certified by provider | Mar 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 25850 | TX |
| Clinical Medical Laboratory | 291U00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 181 |
|---|---|
| Services billed | 580 across 11 procedure codes |
| Paid by Medicare | $45,310 |
Other pharmacies in Little Elm
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