Walgreen Co
NPI 1093098212ActiveOrganization· Pharmacy· Redondo Beach, CA
Pharmacy in Redondo Beach, California, registered in NPPES in September 2011, part of Walgreens Holding Company. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $22,245 for services to 87 patients in 2024.
Overview
| NPI | 1093098212 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Sep 23, 2011 |
| Last updated in NPPES | Jun 9, 2026 |
| Certified by provider | Jun 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHY50687 | 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 | 87 |
|---|---|
| Services billed | 272 across 8 procedure codes |
| Paid by Medicare | $22,245 |
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