Walgreen Co
NPI 1104831148ActiveOrganization· Pharmacy· Draper, UT
Pharmacy in Draper, Utah, registered in NPPES in July 2006, part of Walgreens Holding Company. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $45,086 for services to 174 patients in 2024.
Overview
| NPI | 1104831148 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 51243251703 | UT |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 174 |
|---|---|
| Services billed | 580 across 11 procedure codes |
| Paid by Medicare | $45,086 |
Other Pharmacy providers in Draper
- 1881143444
- 1922238237