Walgreen Co
NPI 1902811805ActiveOrganization· Pharmacy· Lake Geneva, WI
Pharmacy in Lake Geneva, Wisconsin, registered in NPPES in July 2006, part of Walgreens Boots Alliance Inc. The authorized official on file is Kira L. Taylor, Manager. Medicare paid $165,001 for services to 624 patients in 2024.
Overview
| NPI | 1902811805 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Boots Alliance Inc |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Apr 28, 2022 |
| Certified by provider | Apr 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 7990042 | WI |
| 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 (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 624 |
|---|---|
| Services billed | 2,054 across 11 procedure codes |
| Paid by Medicare | $165,001 |
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