Walgreen Eastern Co Inc
NPI 1417472853ActiveOrganization· Pharmacy· Old Orchard Beach, ME
Pharmacy in Old Orchard Beach, Maine, registered in NPPES in August 2017, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $48,289 for services to 185 patients in 2024.
Overview
| NPI | 1417472853 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Aug 7, 2017 |
| Last updated in NPPES | Aug 6, 2026 |
| Certified by provider | Aug 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| 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 (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 624 across 9 procedure codes |
| Paid by Medicare | $48,289 |