Walgreen Co
NPI 1427259852ActiveOrganization· Pharmacy· Deridder, LA
Pharmacy in Deridder, Louisiana, registered in NPPES in May 2007, part of Walgreens Boots Alliance Inc. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $70,792 for services to 268 patients in 2024.
Overview
| NPI | 1427259852 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | May 31, 2007 |
| Last updated in NPPES | Nov 20, 2025 |
| Certified by provider | Nov 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 1933224 | LA |
| 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 (LA); Part B Supplier - Independent Clinical Laboratory (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 268 |
|---|---|
| Services billed | 826 across 12 procedure codes |
| Paid by Medicare | $70,792 |
Other Pharmacy providers in Deridder
- 1568510030