Walgreen Co
NPI 1376701789ActiveOrganization· Pharmacy· Clarksville, TN
Pharmacy in Clarksville, Tennessee, registered in NPPES in June 2008, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $14,519 for services to 52 patients in 2024.
Overview
| NPI | 1376701789 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jun 2, 2008 |
| Last updated in NPPES | Jun 12, 2026 |
| Certified by provider | Jun 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 4522 | TN |
| 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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 170 across 9 procedure codes |
| Paid by Medicare | $14,519 |
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