Walgreen Co
NPI 1669771796ActiveOrganization· Pharmacy· Southport, NC
Pharmacy in Southport, North Carolina, registered in NPPES in March 2011, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $258,151 for services to 1,031 patients in 2024.
Overview
| NPI | 1669771796 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Mar 15, 2011 |
| Last updated in NPPES | Aug 26, 2026 |
| Certified by provider | Aug 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 11039 | NC |
| 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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,031 |
|---|---|
| Services billed | 3,333 across 11 procedure codes |
| Paid by Medicare | $258,151 |
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