WALGREEN EASTERN CO INC (NPI# 1194919597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194919597 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | ELECTRIC BOAT PHARMACY |
| Practice Address |
100 Romano Vineyard Way North Kingstown RI 02852 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8885783457 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2015-03-20 |
| Authorized Official Name | MR. JOHN A MANN (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 8475274640 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREEN CO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHA00506 | RI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 4106971 | 01 |
| Other Name | Type Code |
|---|---|
| ELECTRIC BOAT PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1265447312 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 10 Young St, Tonawanda, NY 14150-2208 | 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 |
100 ROMANO VINEYARD WAY |
| City | NORTH KINGSTOWN |
| State | RI |
| Zip Code | 02852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037059 | Rhode Island Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4255 Quaker Lane, North Kingstown, RI 02852 | 2020-06-15 |
| 1588216543 | Stop Look & Listen LLC | Counselor | 917 Ten Rod Rd, 917 Ten Rod Rd., North Kingstown, RI 02852 | 2019-07-10 |
| 1841856358 | Carlos Albert Saraiva | Pharmacist | 113 Frenchtown Road, North Kingstown, RI 02852 | 2019-05-10 |
| 1184143851 | Jessica Topitzer | Nurse Practitioner | 426f Scrabbletown Rd., N. Kingstown, RI 02852 | 2017-09-14 |
| 1275074940 | Amanda Kathryn Lennon | Social Worker | 2 Ripple Lane, North Kingstown, RI 02852 | 2017-03-15 |
| 1164975728 | Charlotte Elizabeth Bigg | Dentist | 145 Phillips St, North Kingstown, RI 02852 | 2016-08-01 |
| 1043603913 | Pamela Morelli | Social Worker | 426 Scrabbletown Rd., North Kingstown, RI 02852 | 2015-03-16 |
| 1942691845 | Catherine Cooney | Counselor | 1130 Ten Rod Rd, Ste E305, North Kingstown, RI 02852 | 2015-02-12 |
| 1154753168 | Kenneth N Beaupre | Counselor | 23 Brown St Ste 107, North Kingstown, RI 02852 | 2013-07-31 |
| 1154613909 | Kimberly Micucci | Counselor | 1950 Tower Hill Road, Acute Stabilization Unit, North Kingstown, RI 02852 | 2011-05-12 |
| Find all providers in zip 02852 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092884 | Carelink Collaborative Pharmacy LLC | Pharmacy | 400 Massasoit Ave Ste 114, East Providence, RI 02914-2012 | 2020-10-28 |
| 1316411267 | Anthony's Pharmacy LLC | Pharmacy | 219 Manton Ave, Providence, RI 02909-3329 | 2019-01-14 |
| 1669925814 | Toll Gate Apothecary LLC | Pharmacy | 176 Toll Gate Rd Ste 302, Warwick, RI 02886-4481 | 2016-07-24 |
| 1154609972 | We Care Rx | Pharmacy | 678 Park Ave Unit 2, Cranston, RI 02910-2114 | 2011-07-27 |
| 1144556770 | Mps Rx New England LLC | Pharmacy | 33b Appian Way, Smithfield, RI 02917-1777 | 2009-11-02 |
| 1225206329 | Loujil Inc | Pharmacy | 465 Lonsdale Ave, Ste B, Pawtucket, RI 02860-1874 | 2008-02-12 |
| 1093832461 | Watsons Pharmacy | Pharmacy | 2206 Broad St, Cranston, RI 02905-3332 | 2007-03-23 |
| 1366578775 | Fairlawn Pharmacy Inc | Pharmacy | 582 Smithfield Ave, Pawtucket, RI 02860-1633 | 2007-02-27 |
| 1245373307 | Suburban Pharmacy Inc | Pharmacy | 242 Pawtuxet Ave, Warwick, RI 02888-1933 | 2007-02-15 |
| 1750441994 | Chapel Pharmacy Inc | Pharmacy | 2081 Diamond Hill Rd, Cumberland, RI 02864-5123 | 2006-12-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KINGSTOWN |
| Zip Code | 02852 |
Please comment or provide details below to improve the information on WALGREEN EASTERN CO INC.
| 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.