Walgreen Co
NPI 1396052312ActiveOrganization· Pharmacy· Manassas, VA
Pharmacy in Manassas, Virginia, registered in NPPES in September 2010, part of Walgreens Boots Alliance Inc. The authorized official on file is Kira Taylor, Manager. Medicare paid $64,531 for services to 230 patients in 2024.
Overview
| NPI | 1396052312 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Sep 13, 2010 |
| Last updated in NPPES | Oct 30, 2023 |
| Certified by provider | Oct 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 0201004361 | 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) | Enrolled DME Supplier - Pharmacy (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 230 |
|---|---|
| Services billed | 798 across 11 procedure codes |
| Paid by Medicare | $64,531 |
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