Walgreen Co
NPI 1396825972ActiveOrganization· Pharmacy· Valdosta, GA
Pharmacy in Valdosta, Georgia, registered in NPPES in October 2006, part of Walgreens Boots Alliance Inc. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $27,636 for services to 119 patients in 2024.
Overview
| NPI | 1396825972 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Jan 24, 2026 |
| Certified by provider | Jan 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHRE009075 | GA |
| 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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 356 across 10 procedure codes |
| Paid by Medicare | $27,636 |
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