Walgreen Co
NPI 1124392147ActiveOrganization· Pharmacy· Mountain View, CA
Pharmacy in Mountain View, California, registered in NPPES in March 2012, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $105,489 for services to 400 patients in 2024.
Overview
| NPI | 1124392147 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Mar 8, 2012 |
| Last updated in NPPES | Jun 10, 2026 |
| Certified by provider | Jun 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHY50867 | CA |
| 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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 400 |
|---|---|
| Services billed | 1,326 across 14 procedure codes |
| Paid by Medicare | $105,489 |
Other Pharmacy providers in Mountain View
- 1003819194
- 1598418196
- 1245363159
- 1770505554
- 1083658439
- 1114969946
- 1306031059
- 1962417238