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Walgreen Co

NPI 1639471386ActiveOrganization· Pharmacy· Burlington, WA

Pharmacy in Burlington, Washington, registered in NPPES in December 2010, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $136,820 for services to 513 patients in 2024.

Overview

NPI1639471386
StatusActive
Entity typeOrganization (subpart)
Parent organizationWalgreens Holding Company
NPI issuedDec 1, 2010
Last updated in NPPESAug 26, 2026
Certified by providerAug 26, 2026

Specialties and licenses

About license numbers in NPPES

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—

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

Medicare

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

Medicare services in 2024

Medicare patients513
Services billed1,730 across 11 procedure codes
Paid by Medicare$136,820

Medicare sources and data years

Other Pharmacy providers in Burlington

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