Walgreen Co
NPI 1104833086ActiveOrganization· Pharmacy· North Las Vegas, NV
Pharmacy in North Las Vegas, Nevada, registered in NPPES in August 2006, part of Walgreens Holding Company. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $21,089 for services to 77 patients in 2024.
Overview
| NPI | 1104833086 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Aug 2, 2006 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 1519 | NV |
| 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 (NV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 266 across 10 procedure codes |
| Paid by Medicare | $21,089 |
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