WALGREEN EASTERN CO INC (NPI# 1083629281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083629281 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | WALGREENS #02517 |
| Practice Address |
201 Main St Gloucester MA 01930-6010 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 9782837361 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-07-21 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 2106 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2231431 | 01 | |
| MA | 110000111J | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02517 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194919597 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 100 Romano Vineyard Way, North Kingstown, RI 02852 | 2007-08-29 |
| 1306952924 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 2353 Lakewood Rd, Toms River, NJ 08755 | 2006-08-23 |
| 1174530125 | Walgreen Eastern Co Inc | Pharmacy | 4815 Broadway, Depew, NY 14043-3926 | 2006-08-02 |
| 1649287699 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 8277 Broadway, Elmhurst, NY 11373-3352 | 2006-08-02 |
| 1891702841 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 354 Admiral St, Providence, RI 02908-2537 | 2006-08-02 |
| 1831106871 | Walgreen Eastern Co Inc | Pharmacy | 2043 Kensington Ave, Amherst, NY 14226-4722 | 2006-08-02 |
| 1013923408 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 550 Adams St, Ste 6, Quincy, MA 02169-1351 | 2006-07-31 |
| 1902812399 | Walgreen Eastern Co Inc | Pharmacy | 610 Pleasant St, Brockton, MA 02301-2513 | 2006-07-31 |
| 1134134323 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 35 Main St, Peabody, MA 01960-5548 | 2006-07-29 |
| 1619982816 | Walgreen Eastern Co Inc | Pharmacy | 54 East St, Ludlow, MA 01056-3407 | 2006-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | WALGREEN EASTERN CO INC | 2463 US ROUTE 9W RAVENA NY 12143 |
| Street Address |
201 MAIN ST |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477962553 | Michael Andreottola | Pharmacist | 201 Main St, Gloucester, MA 01930-6010 | 2014-08-04 |
| 1972880649 | Kimberly Nardone | Pharmacist | 201 Main St, Gloucester, MA 01930-6010 | 2011-11-09 |
| 1871877118 | Salvatore Ciolino | Pharmacist | 201 Main St, Gloucester, MA 01930-6010 | 2011-10-05 |
| 1366726184 | William Lougee | Pharmacist | 201 Main St, Gloucester, MA 01930 | 2011-09-29 |
| 1780966697 | Kimberly Anne Manolian | Pharmacist | 201 Main St, Gloucester, MA 01930-6010 | 2011-09-16 |
| 1598046112 | Amjad J Kurbaj | Pharmacist | 201 Main St, Gloucester, MA 01930-6010 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1295740835 | Gloucester Mathews Care Clinic | Pharmacy | 6031 Industrial Dr, Gloucester, VA 23061-3767 | 2006-07-30 |
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| 1033656814 | Metrowest Pharmacy LLC | Pharmacy | 214 Union Ave, Framingham, MA 01702-8285 | 2017-01-31 |
| 1134587397 | Cure-aid Pharmacy Inc | Pharmacy | 203 Essex St, Lawrence, MA 01840-1510 | 2016-02-03 |
| 1962876342 | Maxim Rx Group | Pharmacy | 267 Old Colony Ave, South Boston, MA 02127-3520 | 2015-11-23 |
| 1518336577 | Wegmans Food Markets, Inc. | Pharmacy | 169 University Ave, Westwood, MA 02090-2325 | 2015-09-21 |
| 1659754208 | Price Chopper Operating Co of Mass Inc | Pharmacy | 21 Galaxy Pass, Sutton, MA 01590-4836 | 2015-07-01 |
| 1386036713 | Quality Zone Pharmacy Corp | Pharmacy | 355 Belmont Ave, Springfield, MA 01108-2000 | 2015-02-23 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.