WALGREEN CO
NPI: 1710259080
· HAWTHORNE, NY 10532
· Community/Retail Pharmacy
· NPI assigned 02/02/2012
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
$766.22
Total Medicaid Paid
Provider Details
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE INC |
| NPI Enumeration Date | 02/02/2012 |
Related Entities
Other providers sharing the same authorized official: PONCE, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
412 |
$0.00 |
| 2019 |
612 |
$331.17 |
| 2020 |
124 |
$435.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| J7507 |
Tacrolimus, immediate release, oral, 1 mg |
417 |
345 |
$766.22 |
| Q0511 |
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period |
372 |
358 |
$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 |
359 |
323 |
$0.00 |