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Walgreen Co

NPI 1477675767ActiveOrganization· Pharmacy· Lake Charles, LA

Pharmacy in Lake Charles, Louisiana, registered in NPPES in April 2007, part of Walgreens Boots Alliance Inc. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $35,893 for services to 160 patients in 2024.

Overview

NPI1477675767
StatusActive
Entity typeOrganization (subpart)
Parent organizationWalgreens Boots Alliance Inc
NPI issuedApr 6, 2007
Last updated in NPPESNov 20, 2025
Certified by providerNov 20, 2025

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 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (LA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients160
Services billed464 across 11 procedure codes
Paid by Medicare$35,893

Medicare sources and data years

Other Pharmacy providers in Lake Charles

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