Walgreen Co
NPI 1104831353ActiveOrganization· Pharmacy· Saint Peters, MO
Pharmacy in Saint Peters, Missouri, registered in NPPES in July 2006, part of Walgreen Co. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $50,777 for services to 209 patients in 2024.
Overview
| NPI | 1104831353 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreen Co |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | May 5, 2022 |
| Certified by provider | May 5, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 4888 | MO |
| 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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 209 |
|---|---|
| Services billed | 670 across 11 procedure codes |
| Paid by Medicare | $50,777 |
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