Walgreen Co
NPI 1093996399ActiveOrganization· Pharmacy· Idaho Falls, ID
Pharmacy in Idaho Falls, Idaho, registered in NPPES in November 2007, part of Walgreens Holding Company. The authorized official on file is Kira Taylor, Manager. Medicare paid $88,652 for services to 278 patients in 2024.
Overview
| NPI | 1093996399 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Nov 15, 2007 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 37895RP | ID |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (ID); Part B Supplier - Independent Clinical Laboratory (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 278 |
|---|---|
| Services billed | 1,050 across 10 procedure codes |
| Paid by Medicare | $88,652 |
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