NPI: 1154579118 · RICE LAKE, WI 54868 · Community/Retail Pharmacy · NPI assigned 09/03/2008
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 | 09/03/2008 |
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 | 34 | $873.00 |
| 2019 | 22 | $569.10 |
| 2020 | 124 | $2K |
| 2021 | 1,510 | $26K |
| 2022 | 344 | $5K |
| 2023 | 126 | $5K |
| 2024 | 38 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 385 | 359 | $13K | |
| 0002A | 317 | 299 | $11K | |
| 90750 | 114 | 68 | $4K | |
| 0004A | 93 | 93 | $3K | |
| 90686 | 163 | 126 | $3K | |
| 90674 | 73 | 48 | $1K | |
| 0124A | 32 | 32 | $1K | |
| 90679 | 15 | 12 | $885.00 | |
| 0052A | 16 | 16 | $572.40 | |
| 0054A | 13 | 13 | $496.08 | |
| 90678 | 35 | 31 | $310.00 | |
| 0012A | 12 | 12 | $198.73 | |
| 91300 | 803 | 698 | $0.00 | |
| 91312 | 32 | 32 | $0.00 | |
| 91305 | 95 | 91 | $0.00 |