NPI: 1033493143 · DALLAS, TX 75235 · Community/Retail Pharmacy · NPI assigned 10/07/2011
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE |
| NPI Enumeration Date | 10/07/2011 |
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 | 1,403 | $2K |
| 2019 | 1,474 | $320.00 |
| 2020 | 1,417 | $0.00 |
| 2021 | 2,114 | $3K |
| 2022 | 1,826 | $5K |
| 2023 | 1,199 | $2K |
| 2024 | 597 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7518 | Mycophenolic acid, oral, 180 mg | 1,383 | 1,264 | $7K |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 2,137 | 1,633 | $4K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 2,870 | 2,148 | $2K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 2,182 | 2,067 | $1K |
| J7503 | Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg | 23 | 12 | $1K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 1,420 | 1,327 | $102.79 |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 15 | 12 | $0.00 |