Walgreen Co
NPI 1053955377ActiveOrganization· Pharmacy· Kissimmee, FL
Pharmacy in Kissimmee, Florida, registered in NPPES in October 2019, part of Walgreens Boots Alliance Inc. The authorized official on file is Jennifer Ponce, Manager. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1053955377 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Oct 30, 2019 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| 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 (FL) |
|---|
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