Walgreen Co
NPI 1104236355ActiveOrganization· Pharmacy· Staten Island, NY
Pharmacy in Staten Island, New York, registered in NPPES in April 2014, part of Walgreens Holding Company. The authorized official on file is Virginia Garza, Manager. Medicare paid $38,177 for services to 179 patients in 2024.
Overview
| NPI | 1104236355 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Apr 28, 2014 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 032858 | NY |
| 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 (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 508 across 10 procedure codes |
| Paid by Medicare | $38,177 |
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