Walgreen Co
NPI 1124291497ActiveOrganization· Pharmacy· South Boston, VA
Pharmacy in South Boston, Virginia, registered in NPPES in April 2008, part of Walgreens Boots Alliance Inc. The authorized official on file is Kira Taylor, Manager. Medicare paid $65,056 for services to 281 patients in 2024.
Overview
| NPI | 1124291497 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Apr 8, 2008 |
| Last updated in NPPES | Oct 30, 2023 |
| Certified by provider | Oct 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 0201004229 | VA |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 281 |
|---|---|
| Services billed | 834 across 11 procedure codes |
| Paid by Medicare | $65,056 |
Other Pharmacy providers in South Boston
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