Walgreen Co
NPI 1073847109ActiveOrganization· Pharmacy· San Juan, PR
Pharmacy in San Juan, Puerto Rico, registered in NPPES in September 2009, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $24,343 for services to 96 patients in 2024.
Overview
| NPI | 1073847109 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Sep 22, 2009 |
| Last updated in NPPES | Oct 14, 2026 |
| Certified by provider | Oct 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | F-2786 | PR |
| 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 (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 318 across 9 procedure codes |
| Paid by Medicare | $24,343 |
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