Walgreen Co
NPI 1073946489ActiveOrganization· Pharmacy· San Diego, CA
Pharmacy in San Diego, California, registered in NPPES in August 2013, part of Walgreens Boots Alliance Inc. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $56,191 for services to 203 patients in 2024.
Overview
| NPI | 1073946489 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Aug 21, 2013 |
| Last updated in NPPES | Jun 10, 2026 |
| Certified by provider | Jun 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 51597 | CA |
| 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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 203 |
|---|---|
| Services billed | 694 across 10 procedure codes |
| Paid by Medicare | $56,191 |
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