Walgreen Co
NPI 1215265145ActiveOrganization· Pharmacy· Goodyear, AZ
Pharmacy in Goodyear, Arizona, registered in NPPES in December 2009, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $118,110 for services to 477 patients in 2024.
Overview
| NPI | 1215265145 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Dec 4, 2009 |
| Last updated in NPPES | Aug 17, 2026 |
| Certified by provider | Aug 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | Y005221 | AZ |
| 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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 477 |
|---|---|
| Services billed | 1,520 across 11 procedure codes |
| Paid by Medicare | $118,110 |
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