WALGREEN CO
NPI: 1003189556
· ORLANDO, FL 32804
· Community/Retail Pharmacy
· NPI assigned 02/14/2012
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
$303.29
Total Medicaid Paid
Provider Details
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE INC |
| NPI Enumeration Date | 02/14/2012 |
Related Entities
Other providers sharing the same authorized official: PONCE, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
40 |
$303.29 |
| 2020 |
73 |
$0.00 |
| 2021 |
107 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
40 |
25 |
$303.29 |
| Q0512 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period |
133 |
95 |
$0.00 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
47 |
38 |
$0.00 |