Walgreen Co
NPI 1770598674ActiveOrganization· Pharmacy· Fort Worth, TX
Pharmacy in Fort Worth, Texas, registered in NPPES in July 2006, part of Walgreens Boots Alliance. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $13,339 for services to 52 patients in 2024.
Overview
| NPI | 1770598674 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Jun 24, 2025 |
| Certified by provider | Jun 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 22593 | TX |
| Clinical Medical Laboratory | 291U00000X | — | — |
| 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 162 across 8 procedure codes |
| Paid by Medicare | $13,339 |
Other pharmacies in Fort Worth
- 1033884770
- 1043212848
- 1114932183
- 1134618648
- 1144324971
- 1144571266
- 1154103190
- 1164423513
- 1174862718
- 1184631129
- 1184631194
- 1205383510