Walgreen Co
NPI 1508871682ActiveOrganization· Pharmacy· Plymouth, WI
Pharmacy in Plymouth, Wisconsin, registered in NPPES in July 2006, part of Walgreens Boots Alliance, Inc. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $59,195 for services to 226 patients in 2024.
Overview
| NPI | 1508871682 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance, Inc |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Sep 10, 2024 |
| Certified by provider | Sep 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 8411 | WI |
| Clinical Medical Laboratory | 291U00000X | — | — |
| 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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 226 |
|---|---|
| Services billed | 770 across 9 procedure codes |
| Paid by Medicare | $59,195 |
Other Pharmacy providers in Plymouth
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