Walgreen Co
NPI 1063905552ActiveOrganization· Pharmacy· Charleston, SC
Pharmacy in Charleston, South Carolina, registered in NPPES in June 2018, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1063905552 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jun 11, 2018 |
| Last updated in NPPES | Oct 14, 2026 |
| Certified by provider | Oct 14, 2026 |
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 (SC) |
|---|
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All 30 pharmacies in Charleston · All pharmacies in South Carolina