NPI: 1124210166 · BEAVER DAM, WI 53916 · Community/Retail Pharmacy · NPI assigned 08/14/2007
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE INC |
| NPI Enumeration Date | 08/14/2007 |
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 | 22 | $620.40 |
| 2019 | 51 | $2K |
| 2020 | 119 | $2K |
| 2021 | 1,928 | $32K |
| 2022 | 507 | $8K |
| 2023 | 46 | $4K |
| 2024 | 12 | $306.45 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 436 | 423 | $15K | |
| 0002A | 347 | 332 | $13K | |
| 90686 | 231 | 171 | $4K | |
| 90674 | 114 | 114 | $4K | |
| 91320 | 23 | 20 | $3K | |
| 0124A | 63 | 63 | $2K | |
| 0054A | 41 | 41 | $1K | |
| 0004A | 40 | 40 | $1K | |
| 0071A | 35 | 35 | $1K | |
| 0072A | 20 | 20 | $763.20 | |
| 0052A | 19 | 19 | $648.72 | |
| 0011A | 53 | 45 | $542.08 | |
| 0012A | 19 | 19 | $539.41 | |
| 90656 | 12 | 12 | $306.45 | |
| 91301 | 81 | 72 | $0.00 | |
| 91305 | 112 | 108 | $0.00 | |
| 91307 | 88 | 77 | $0.00 | |
| 91300 | 888 | 793 | $0.00 | |
| 91312 | 63 | 63 | $0.00 |