NPI: 1790087427 · LA CROSSE, WI 54601 · Community/Retail Pharmacy · NPI assigned 12/01/2010
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 | 12/01/2010 |
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 |
|---|---|---|
| 2020 | 26 | $343.35 |
| 2021 | 1,003 | $15K |
| 2022 | 132 | $1K |
| 2023 | 13 | $434.19 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0002A | 155 | 150 | $5K | |
| 0001A | 151 | 150 | $5K | |
| 0012A | 62 | 60 | $2K | |
| 0011A | 66 | 60 | $2K | |
| 0004A | 34 | 34 | $1K | |
| 0071A | 18 | 18 | $496.08 | |
| 0003A | 14 | 14 | $496.08 | |
| 90674 | 13 | 13 | $434.19 | |
| 0124A | 12 | 12 | $419.76 | |
| 90686 | 26 | 13 | $343.35 | |
| 0072A | 13 | 13 | $305.28 | |
| 91301 | 131 | 122 | $0.00 | |
| 91305 | 35 | 35 | $0.00 | |
| 91307 | 32 | 29 | $0.00 | |
| 91300 | 400 | 362 | $0.00 | |
| 91312 | 12 | 12 | $0.00 |