Walgreen Co
NPI 1902075625ActiveOrganization· Pharmacy· Gresham, OR
Pharmacy in Gresham, Oregon, registered in NPPES in February 2008, part of Walgreens Holding Company. The authorized official on file is Kira Taylor, Manager. Medicare paid $15,016 for services to 62 patients in 2024.
Overview
| NPI | 1902075625 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Feb 27, 2008 |
| Last updated in NPPES | Oct 8, 2026 |
| Certified by provider | Oct 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | RP-0002467-CS | OR |
| 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 (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 184 across 8 procedure codes |
| Paid by Medicare | $15,016 |
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