WALGREEN EASTERN CO INC (NPI# 1619982816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619982816 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | WALGREENS #02699 |
| Practice Address |
54 East St Ludlow MA 01056-3407 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 4135478128 |
| 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 | 2129 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0439932 | 05 | |
| MA | 110000111O | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2232065 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02699 | 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 |
| 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 |
54 EAST ST |
| City | LUDLOW |
| State | MA |
| Zip Code | 01056-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609487255 | Paulo L Roxo | Pharmacist | 54 East St, Ludlow, MA 01056-3407 | 2020-08-16 |
| 1649662016 | Neil Grossman | Pharmacist | 54 East St, Ludlow, MA 01056-3407 | 2015-02-23 |
| 1568746253 | Cynthia Ann Bolger | Pharmacist | 54 East St, Ludlow, MA 01056-3407 | 2011-09-29 |
| 1306128517 | Kara Zeysing | Pharmacist | 54 East St, Ludlow, MA 01056-3407 | 2011-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207997 | Shannon Kurzeski | Nurse Practitioner | 77 Winsor Street - Ludlow Pediatrics, Ludlow, MA 01056 | 2018-03-06 |
| 1811412653 | Melany Ann Picard | Behavior Technician | 87 Ridgeview Circle, Ludlow, MA 01056 | 2017-08-12 |
| 1588981617 | Lindsay Beth Milligan | Physician Assistant | 627 Randall Road, Hampden County Correctional Center, Health Services, Ludlow, MA 01056 | 2010-04-29 |
| 1285874271 | Steve J. Mcdaniel D.d.s. PC | Dentist | 534 Center Street, Ludlow, MA 01056 | 2009-03-03 |
| 1710138813 | Margaret Ann Denby | Nurse Practitioner | 627 Randall Rd., Ludlow, MA 01056 | 2008-10-07 |
| 1285739276 | Pathology Diagnostic Services P.C. | Pathology | 377 Woodland Circle, Ludlow, MA 01056 | 2006-09-14 |
| 1295759876 | Joseph F Wegiel | Dentist | 257 Kendall St, Ludlow, MA 01056 | 2006-07-27 |
| 1972580306 | Lois C Albury | Internal Medicine | 14 Chestnut Place, Ludlow, MA 01056 | 2005-12-28 |
| 1720064983 | Ann Maria Labar Elder | Internal Medicine | 222 State St, Ludlow, MA 01056 | 2005-12-20 |
| 1922094762 | Mohammad U Qayyum | Psychiatry & Neurology | 77 Winsor St, Ste 101, Ludlow, MA 01056 | 2005-09-27 |
| Find all providers in zip 01056 | ||||
| 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 |
|---|---|---|---|---|
| 1023312964 | Ludlow Pharmacy Inc | Pharmacy | 57 Pond St, Ludlow, VT 05149-1083 | 2011-01-07 |
| 1851480487 | Big Y Foods Inc | Pharmacy | 425 Center St, Ludlow, MA 01056-2769 | 2006-10-12 |
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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.