WALGREEN EASTERN CO INC (NPI# 1295740371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295740371 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | WALGREENS #04845 |
| Practice Address |
89 Henry St Freeport NY 11520-3906 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 5166239719 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
| Authorized Official Telephone | 2177092386 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 20765 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01210975 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3397026 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04845 | 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 |
89 HENRY ST |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639727 | Benjamin Min Hyun Donovan | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2020-11-03 |
| 1306494323 | Fanny Chao | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2019-09-03 |
| 1821480278 | Nnenna Agu | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2015-02-23 |
| 1083021786 | Amanda Zelinski | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2014-07-15 |
| 1164848461 | Anika Raisa | Pharmacist | 89 Henry St, Freeport, NY 11520 | 2014-03-11 |
| 1770917056 | Chung Heng Lin | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2013-08-22 |
| 1255654109 | Timothy D Rakiec | Pharmacist | 89 Henry St, Freeport, NY 11520 | 2010-03-07 |
| 1821311762 | Prabhjot Kaur | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2010-03-07 |
| 1376866384 | Joseph F Wing | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2010-03-04 |
| 1316122641 | Mary Semet | Pharmacist | 89 Henry St, Freeport, NY 11520-3906 | 2008-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| 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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|---|---|---|---|---|
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| 1104837608 | Weeks S Pharmacy LLC | Pharmacy | 132 State Highway 20 E, Freeport, FL 32439-3917 | 2006-08-10 |
| 1114377256 | Anaya I Inc | Pharmacy | 23 S Main St, Freeport, NY 11520-3603 | 2016-06-20 |
| 1306877469 | Kmart Stores of Illinois LLC | Pharmacy | 1880 S West Ave, Freeport, IL 61032-6712 | 2006-07-06 |
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| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.