Walgreen Co
NPI 1649461252ActiveOrganization· Pharmacy· Fond Du Lac, WI
Pharmacy in Fond Du Lac, Wisconsin, registered in NPPES in August 2007, part of Walgreens Boots Alliance Inc. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $54,619 for services to 191 patients in 2024.
Overview
| NPI | 1649461252 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Aug 8, 2007 |
| Last updated in NPPES | Oct 10, 2024 |
| Certified by provider | Oct 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 8763-042 | WI |
| 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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 191 |
|---|---|
| Services billed | 672 across 12 procedure codes |
| Paid by Medicare | $54,619 |
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