WALGREEN EASTERN CO INC (NPI# 1417962606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417962606 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | WALGREENS #04535 |
| Practice Address |
170 N Main St Randolph MA 02368-4629 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7819637713 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2016-08-23 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 2837 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2226884 | 01 | |
| MA | 110000109T | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04535 | 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 |
170 N MAIN ST |
| City | RANDOLPH |
| State | MA |
| Zip Code | 02368-4629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291771 | Abimbola Olagunju | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2020-10-05 |
| 1700492857 | Ryan Leclair | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2020-09-23 |
| 1730795014 | Hieu Minh Nguyen | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2020-09-22 |
| 1780931410 | Nikki Chau | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2012-08-13 |
| 1558648543 | Tracie Millette-shuman | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2011-11-04 |
| 1811274822 | Kasey Marie Arabasz | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2011-11-04 |
| 1225310832 | Steven Thomas Anderson | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2011-09-09 |
| 1649552209 | Lisa Lourenco | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2011-09-09 |
| 1164704722 | Grace Leung | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2011-09-09 |
| 1164725461 | Peter Ioannis Demestihas | Pharmacist | 170 N Main St, Randolph, MA 02368-4629 | 2010-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016444 | Kadiatou Djindji Bah | Behavior Technician | 75 N Main St Suite 628, Randolph, MA 02368 | 2020-09-02 |
| 1194334490 | Madison Murphy | Behavior Technician | 75 North Main Street, Ma, Suite #628, Randolph, MA 02368 | 2020-07-23 |
| 1255995049 | Daniel Joseph Bellistri | Social Worker | Daniel Bellistri, 70 Memorial Pkwy., Randolph, MA 02368 | 2019-04-26 |
| 1992291124 | Ashley Lauren Davis | Licensed Practical Nurse | 11 Mcdonnell Drive, Randolph, MA 02368 | 2018-07-11 |
| 1023503943 | Jean Rony Mesalon | Licensed Practical Nurse | 8 Reynolds Ave, Randolph, MA 02368 | 2018-06-22 |
| 1154829208 | Tatianna Lovette Hendren | Behavioral Analyst | 28 Liberty Place, Apartment C, Randolph, MA 02368 | 2018-01-24 |
| 1841709698 | Gerica Barbosa | Counselor | 37 Sarah St, Randolph, MA 02368 | 2017-09-25 |
| 1437508629 | Julie A Panchamsingh-barakat | Social Worker | 400-, 402 N Main St, Randolph, MA 02368 | 2016-06-08 |
| 1497109789 | Grace Dorcas Pokuah | Counselor | 24 Nelson Dr, #1a, Randolph, MA 02368 | 2016-04-22 |
| 1194185868 | Heavenly Home Care | Home Health | 9 William Morrison Drive, Randolph, MA 02368 | 2016-02-24 |
| Find all providers in zip 02368 | ||||
| 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 |
|---|---|---|---|---|
| 1376089706 | Jre Ave Maria LLC | Pharmacy | 124 Route 10, Unit 4, Randolph, NJ 07869-2415 | 2017-01-09 |
| 1083660385 | Dennis K Zink & Clair C Inkley Ptr | Pharmacy | 113 Main St, Randolph, NY 14772-1131 | 2006-05-26 |
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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.