Walgreen Co
NPI 1407082043ActiveOrganization· Pharmacy· Manassas, VA
Pharmacy in Manassas, Virginia, registered in NPPES in June 2009, part of Walgreens Boots Alliance Inc. The authorized official on file is Kira Taylor, Manager. Medicare paid $31,554 for services to 124 patients in 2024.
Overview
| NPI | 1407082043 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Jun 10, 2009 |
| Last updated in NPPES | Oct 30, 2023 |
| Certified by provider | Oct 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | 0201004298 | VA |
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 | 124 |
|---|---|
| Services billed | 406 across 12 procedure codes |
| Paid by Medicare | $31,554 |
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