Walgreen Co
NPI 1902084114ActiveOrganization· Pharmacy· Cleveland, TX
Pharmacy in Cleveland, Texas, registered in NPPES in February 2008, part of Walgreens Boots Alliance. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $36,208 for services to 145 patients in 2024.
Overview
| NPI | 1902084114 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance |
| NPI issued | Feb 11, 2008 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 25906 | TX |
| Clinical Medical Laboratory | 291U00000X | — | — |
| 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 (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 145 |
|---|---|
| Services billed | 442 across 10 procedure codes |
| Paid by Medicare | $36,208 |
Other Pharmacy providers in Cleveland
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