Walgreen Eastern Co Inc
NPI 1588820807ActiveOrganization· Pharmacy· Ellsworth, ME
Pharmacy in Ellsworth, Maine, registered in NPPES in August 2008, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $122,433 for services to 483 patients in 2024.
Overview
| NPI | 1588820807 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Aug 6, 2008 |
| Last updated in NPPES | Aug 6, 2026 |
| Certified by provider | Aug 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PH50001350 | ME |
| 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 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (ME); Part B Supplier - Independent Clinical Laboratory (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 483 |
|---|---|
| Services billed | 1,550 across 14 procedure codes |
| Paid by Medicare | $122,433 |
Other Pharmacy providers in Ellsworth
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