WALGREEN CO

NPI: 1003242959 · SANFORD, NC 27330 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/24/2013

$8K

Total Medicaid Paid

551

Total Claims

320

Beneficiaries

Codes Billed

2018-03

First Month

2021-08

Last Month

Provider Details

Authorized Official	PONCE, JENNIFER (MANAGER)
Parent Organization	WALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date	09/24/2013

Other providers sharing the same authorized official: PONCE, JENNIFER

Provider	City	State	Total Paid
CYSTIC FIBROSIS SERVICES LLC	FRISCO	TX	$205K
WALGREEN CO	SHELTON	CT	$31K
WALGREEN CO	WHITEVILLE	NC	$26K
WALGREEN CO	HAMDEN	CT	$22K
WALGREEN CO	LAKEWOOD	CO	$20K
WALGREEN CO	DE PERE	WI	$17K
WALGREEN CO	KINSTON	NC	$16K
DUANE READE	NEW YORK	NY	$7K
WALGREEN CO	VIROQUA	WI	$6K
WALGREEN CO	GUILDERLAND	NY	$6K
WALGREEN CO	APEX	NC	$5K
WALGREEN CO	WILMINGTON	NC	$4K
WALGREEN CO	GEORGETOWN	SC	$720.00
WALGREEN CO	BRYANT	AR	$290.52
WALGREEN CO	HESPERIA	CA	$281.52
WALGREEN CO	SHORELINE	WA	$240.00
WALGREEN CO	COVINGTON	LA	$74.79
WALGREEN CO	GLENVIEW	IL	$2.20
WALGREEN CO	POUGHKEEPSIE	NY	$0.00
WALGREEN CO	MITCHELL	SD	$0.00

Year	Claims	Total Paid
2018	12	$0.00
2021	539	$8K

Code	Description	Claims	Beneficiaries	Total Paid
0001A		133	78	$5K
0002A		110	65	$4K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	12	12	$0.00
91300		296	165	$0.00