Walgreen Eastern Co Inc
NPI 1942215017ActiveOrganization· Pharmacy· Hicksville, NY
Pharmacy in Hicksville, New York, registered in NPPES in July 2006, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $86,596 for services to 374 patients in 2024.
Overview
| NPI | 1942215017 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Jul 22, 2026 |
| Certified by provider | Jul 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 22169 | NY |
| 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 (NY); Part B Supplier - Independent Clinical Laboratory (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 374 |
|---|---|
| Services billed | 1,108 across 13 procedure codes |
| Paid by Medicare | $86,596 |
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