WALGREEN CO

NPI: 1386194793 · FORT WORTH, TX 76104 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/10/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more

$0.00

Total Medicaid Paid

553

Total Claims

439

Beneficiaries

Codes Billed

2024-04

First Month

2024-08

Last Month

Provider Details

Authorized Official	PONCE, JENNIFER (MANAGER)
Parent Organization	WALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date	10/10/2016

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
2024	553	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
J7518	Mycophenolic acid, oral, 180 mg	143	122	$0.00
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	173	128	$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	115	110	$0.00
J7503	Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg	122	79	$0.00