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Walgreen Co

NPI 1467986455ActiveOrganization· Pharmacy· Bridgeport, CT

Pharmacy in Bridgeport, Connecticut, registered in NPPES in April 2017, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Enrolled in Medicare as dme supplier - pharmacy.

Overview

NPI1467986455
StatusActive
Entity typeOrganization (subpart)
Parent organizationWalgreens Holding Company
NPI issuedApr 17, 2017
Last updated in NPPESOct 13, 2026
Certified by providerOct 13, 2026

Specialties and licenses

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Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (CT)

Medicare sources and data years

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