Walgreen Co
NPI 1417473000ActiveOrganization· Pharmacy· Fairmont, WV
Pharmacy in Fairmont, West Virginia, registered in NPPES in August 2017, part of Walgreens Holding Company. The authorized official on file is Kira Taylor, Manager. Medicare paid $56,392 for services to 217 patients in 2024.
Overview
| NPI | 1417473000 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Aug 16, 2017 |
| Last updated in NPPES | Sep 5, 2026 |
| Certified by provider | Sep 5, 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (WV) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 217 |
|---|---|
| Services billed | 730 across 12 procedure codes |
| Paid by Medicare | $56,392 |
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