NPI: 1487849477 · ELKHORN, WI 53121 · Community/Retail Pharmacy · NPI assigned 09/12/2007
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 | 09/12/2007 |
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 | 12 | $364.65 |
| 2020 | 26 | $346.50 |
| 2021 | 1,146 | $18K |
| 2022 | 325 | $5K |
| 2023 | 19 | $500.85 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 151 | 149 | $6K | |
| 0002A | 138 | 133 | $5K | |
| 0012A | 87 | 83 | $3K | |
| 0011A | 112 | 96 | $2K | |
| 0004A | 63 | 63 | $2K | |
| 90686 | 82 | 68 | $2K | |
| 0052A | 29 | 29 | $1K | |
| 0054A | 21 | 21 | $763.20 | |
| 90674 | 25 | 25 | $660.40 | |
| 0051A | 15 | 15 | $534.24 | |
| 0134A | 12 | 12 | $457.92 | |
| 0064A | 13 | 13 | $457.92 | |
| 91305 | 89 | 82 | $0.00 | |
| 91307 | 35 | 28 | $0.00 | |
| 91301 | 209 | 183 | $0.00 | |
| 91306 | 13 | 13 | $0.00 | |
| 91300 | 422 | 392 | $0.00 | |
| 91313 | 12 | 12 | $0.00 |