NPI: 1750620308 · HARTFORD, CT 06106 · Durable Medical Equipment & Medical Supplies · NPI assigned 02/01/2013
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 | 02/01/2013 |
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 | 149 | $2K |
| 2020 | 25 | $412.75 |
| 2021 | 25 | $403.75 |
| 2023 | 13 | $218.79 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 85 | 67 | $1K |
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 50 | 49 | $816.50 |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 12 | 12 | $333.49 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 52 | 37 | $316.80 |
| A4239 | Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 13 | 12 | $218.79 |