NPI: 1447267323 · GLENDALE, WI 53217 · Community/Retail Pharmacy · NPI assigned 08/02/2006
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 | 08/02/2006 |
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 | 25 | $746.00 |
| 2019 | 32 | $1K |
| 2020 | 34 | $527.25 |
| 2021 | 1,326 | $21K |
| 2022 | 729 | $11K |
| 2023 | 131 | $6K |
| 2024 | 63 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 283 | 263 | $9K | |
| 0002A | 269 | 246 | $9K | |
| 90674 | 125 | 125 | $5K | |
| 91320 | 51 | 34 | $4K | |
| 0124A | 87 | 86 | $3K | |
| 90686 | 101 | 84 | $3K | |
| 0051A | 45 | 45 | $2K | |
| 0003A | 40 | 40 | $1K | |
| 0053A | 34 | 34 | $1K | |
| 0072A | 31 | 31 | $1K | |
| 0071A | 30 | 29 | $1K | |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | 68 | 68 | $818.00 |
| 90656 | 20 | 20 | $634.95 | |
| 0052A | 14 | 14 | $457.92 | |
| 0012A | 13 | 13 | $340.68 | |
| 0011A | 12 | 12 | $186.34 | |
| 91300 | 651 | 564 | $0.00 | |
| 91312 | 87 | 86 | $0.00 | |
| 91307 | 96 | 86 | $0.00 | |
| 91301 | 30 | 30 | $0.00 | |
| 91305 | 253 | 242 | $0.00 |