WALGREEN EASTERN CO INC (NPI# 1346255544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346255544 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | WALGREENS #02823 |
| Practice Address |
841 Western Ave Lynn MA 01905-2322 |
| Mailing Address |
1901 E Voorhees St Ms790 Danville IL 61834-4509 |
| Practice Telephone | 7815922248 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-08-05 |
| 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 | 2162 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2232332 | 01 | |
| MA | 0440302 | 05 | |
| MA | 110000111T | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02823 | 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 |
841 WESTERN AVE |
| City | LYNN |
| State | MA |
| Zip Code | 01905-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336422203 | Rebecca Lee Stephanakis | Pharmacist | 841 Western Ave, Lynn, MA 01905-2322 | 2011-09-27 |
| 1225310758 | Judy T Nguyen | Pharmacist | 841 Western Ave, Lynn, MA 01905-2322 | 2011-09-11 |
| 1760763379 | Andrew F. Xeros | Pharmacist | 841 Western Ave, Lynn, MA 01905-2322 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783560 | Annie Marie Helmkamp | Nurse Practitioner | Ati Worksite Solutions, Ge Aviation, 1000 Western Avenue, Lynn, MA 01905 | 2020-02-27 |
| 1215419395 | Bridget Depoy | Social Worker | Fallon School, 100 Robinson St., Lynn, MA 01905 | 2018-09-05 |
| 1093294845 | Tina Hoofnagle | Social Worker | 100 Bennett Street, Lynn, MA 01905 | 2018-08-13 |
| 1740768704 | Tamba-kromah Ventures LLC | Non-emergency Medical Transport (VAN) | 29 Dungeon Ave, Lynn, MA 01905 | 2018-08-01 |
| 1275068637 | Gina Hart | Counselor | 29 Pennybrook Rd, Lynn, MA 01905 | 2017-04-24 |
| 1235593773 | Daniel Burke | Physician Assistant | 1000 Western Ave Bldg 44, Lynn, MA 01905 | 2016-04-11 |
| 1366825374 | Humble Care Givers | Technician | 15 River Street Place, Lynn, MA 01905 | 2015-07-08 |
| 1861815649 | Krystle Lee Concepcion | Occupational Therapist | 9 Needhams Landing Road Apt. 401, Lynn, MA 01905 | 2014-01-29 |
| 1134497423 | Rachel Tami Davis | Social Worker | 800 Cummings Ctr Suite 266 T, Beverly, MA 01905 | 2011-12-01 |
| 1043534316 | Eh Moo Htoo | Counselor | 447 Summer St, Apt 1, Lynn, MA 01905 | 2010-03-16 |
| Find all providers in zip 01905 | ||||
| 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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|---|---|---|---|---|
| 1194856294 | Ball Pharmacy Corp | Pharmacy | 232 Lewis St, Lynn, MA 01902-4864 | 2007-03-08 |
| 1891865812 | Spector Drug Inc | Pharmacy | 289 Essex St, Lynn, MA 01902-2330 | 2006-11-08 |
| 1811255417 | City Drug Inc | Pharmacy | 22 State St, Lynn, MA 01901-1505 | 2012-05-02 |
| 1558479741 | Cin-don | Pharmacy | 57 Market St, Lynn, MA 01901-1004 | 2006-08-28 |
| 1205853223 | Superpharm, Inc. | Pharmacy | 7 Willow St, Lynn, MA 01901-1206 | 2006-07-16 |
| 1003848987 | Stop and Shop Supermarket Co LLC | Pharmacy | 35 Washington St, Lynn, MA 01904-3305 | 2006-07-07 |
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| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1356973887 | Dana-farber Cancer Institute, Inc. | Pharmacy | 5 Branch Street, Floor 1, Room 1040, Methuen, MA 01844-1964 | 2020-02-12 |
| 1053819482 | Allied Pharmacy Inc. | Pharmacy | 10-12 Hampshire Street, Lawrence, MA 01840 | 2018-01-31 |
| 1336653021 | Genoa Healthcare, LLC | Pharmacy | 1 Arch Pl Ste P, Greenfield, MA 01301-2457 | 2017-11-17 |
| 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 | ||||
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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.