Walgreen Co
NPI 1750566287ActiveOrganization· Pharmacy· Blaine, MN
Pharmacy in Blaine, Minnesota, registered in NPPES in January 2008, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $22,630 for services to 84 patients in 2024.
Overview
| NPI | 1750566287 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jan 3, 2008 |
| Last updated in NPPES | Oct 19, 2026 |
| Certified by provider | Oct 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 263154 | MN |
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 282 across 10 procedure codes |
| Paid by Medicare | $22,630 |
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