WALGREEN EASTERN CO, INC (NPI# 1447265426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447265426 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO, INC |
| Other Organization Name | WALGREENS #04361 |
| Practice Address |
17-77 River Rd Fair Lawn NJ 07410 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 2017961142 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-07-18 |
| 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 | RS003827 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4375203 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #04361 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063429975 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 593 Market St, Elmwood Park, NJ 07407 | 2006-08-02 |
| 1447265434 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 20 Arnot St, Lodi, NJ 07644 | 2006-07-29 |
| 1992710982 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 475 Ridge Rd, North Arlington, NJ 07031 | 2006-07-29 |
| 1528073517 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 421 Ryders Ln, East Brunswick, NJ 08816 | 2006-07-29 |
| 1013922194 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 5716 Avenue U, Brooklyn, NY 11234-5210 | 2006-07-29 |
| 1548275894 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 649 W Main St, Waterbury, CT 06702-1082 | 2006-07-29 |
| 1285649533 | Walgreen Eastern Co, Inc | Pharmacy | 960 North Ave, Bridgeport, CT 06606-5750 | 2006-07-29 |
| 1457366445 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 1147 South Ave, Plainfield, NJ 07062 | 2006-07-29 |
| 1184639171 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 1197 Amboy Ave, Edison, NJ 08837 | 2006-07-29 |
| 1003821174 | Walgreen Eastern Co, Inc | Pharmacy | 25 Putnam Pike, Johnston, RI 02919-2029 | 2006-07-29 |
| Street Address |
17-77 RIVER RD |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033492137 | Hyo Jung J Kim | Pharmacist | 17-77 River Rd, Fair Lawn, NJ 07410-1205 | 2011-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| 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 |
|---|---|---|---|---|
| 1023053469 | Plymouth Park Pharmacy Inc | Pharmacy | 11 12 Saddle River Rd, Fair Lawn, NJ 07410-5786 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495544 | Medilink Rxcare Hammonton, LLC | Pharmacy | 44 S White Horse Pike, Hammonton, NJ 08037-1845 | 2020-10-23 |
| 1770193757 | Rvl Pharmacy | Pharmacy | 2500 Main St Ste 10, Sayreville, NJ 08872-1473 | 2020-08-05 |
| 1043828577 | Siddhivinayak Inc. | Pharmacy | 90 Bergen St # 1600, Newark, NJ 07103-2425 | 2020-07-21 |
| 1891303616 | Amwell Pharmacy Inc. | Pharmacy | 438 Route 206 Ste 3, Hillsborough, NJ 08844-5525 | 2020-07-17 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982237103 | Holmdel Pharmacy and Deli LLC | Pharmacy | 487 Middle Rd, Hazlet, NJ 07730-2426 | 2020-02-17 |
| 1184254575 | Frrx LLC | Pharmacy | 76 W Gilbert St, Tinton Falls, NJ 07701-4918 | 2020-01-24 |
| 1841820388 | Ewing Pharmacy LLC | Pharmacy | 1400 Parkway Ave Ste A2, Ewing, NJ 08628-3021 | 2020-01-23 |
| 1982240735 | Elite Rx LLC | Pharmacy | 2282 Hamburg Tpke Ste E, Wayne, NJ 07470-6291 | 2019-11-26 |
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| 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.