Walgreen Co
NPI 1568477503ActiveOrganization· Pharmacy· South Ogden, UT
Pharmacy in South Ogden, Utah, registered in NPPES in July 2006, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $20,342 for services to 79 patients in 2024.
Overview
| NPI | 1568477503 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 57509851703 | UT |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (UT); Part B Supplier - Independent Clinical Laboratory (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 79 |
|---|---|
| Services billed | 262 across 8 procedure codes |
| Paid by Medicare | $20,342 |
Other pharmacies in South Ogden
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