Walgreen Co
NPI 1962417089ActiveOrganization· Pharmacy· Coeur D Alene, ID
Pharmacy in Coeur D Alene, Idaho, registered in NPPES in July 2006, part of Walgreens Holding Company. The authorized official on file is Jennifer Ponce, Manager. Medicare paid $121,619 for services to 477 patients in 2024.
Overview
| NPI | 1962417089 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreens Holding Company |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Aug 29, 2026 |
| Certified by provider | Aug 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 38581RP | ID |
| 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 (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 477 |
|---|---|
| Services billed | 1,558 across 11 procedure codes |
| Paid by Medicare | $121,619 |
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