WALGREEN EASTERN CO INC (NPI# 1649287699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649287699 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | WALGREENS #01616 |
| Practice Address |
8277 Broadway Elmhurst NY 11373-3352 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7186727781 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2018-12-13 |
| 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 | 19350 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00999317 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3388798 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #01616 | 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 |
| 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 |
| 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 |
8277 BROADWAY |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972020071 | Billy Ning | Pharmacist | 8277 Broadway, Elmhurst, NY 11373-3352 | 2017-08-29 |
| 1144627779 | Patty Qian | Pharmacist | 8277 Broadway, Elmhurst, NY 11373-3352 | 2014-11-25 |
| 1043619182 | Diana Inoyatova | Pharmacist | 8277 Broadway, Elmhurst, NY 11373-3352 | 2014-08-14 |
| 1194005033 | Jeffrey Hsu | Pharmacist | 8277 Broadway, Elmhurst, NY 11373-3352 | 2011-08-24 |
| 1922312040 | Yen San Sy | Pharmacist | 8277 Broadway, Elmhurst, NY 11373-3352 | 2010-07-30 |
| 1659524460 | Sung Mi Kyung | Pharmacist | 8277 Broadway, Elmhurst, NY 11373-3352 | 2008-10-24 |
| 1487818183 | Choi Kam Chang | Pharmacist | 8277 Broadway, Elmhurst, NY 11373-3352 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| 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 |
|---|---|---|---|---|
| 1265056998 | 99 Pharmacy, Inc. | Pharmacy | 7402 Grand Ave, Elmhurst, NY 11373-4127 | 2020-05-28 |
| 1114401601 | Home & Home Pharmacy Inc | Pharmacy | 8618 Whitney Ave, Elmhurst, NY 11373-3658 | 2018-09-20 |
| 1932686052 | Paing Soeaung | Pharmacy | 5160 Van Kleeck St Apt 4m, Elmhurst, NY 11373-4213 | 2018-07-21 |
| 1942713235 | Skycarepharmacy Inc | Pharmacy | 8529 Grand Ave, Elmhurst, NY 11373-8824 | 2017-11-09 |
| 1184010555 | Getting Well Rx Pharmacy | Pharmacy | 8286 Broadway, Elmhurst, NY 11373-3353 | 2015-04-12 |
| 1598158958 | Gaga Pharmacy Inc | Pharmacy | 9005 Corona Ave, Elmhurst, NY 11373-4046 | 2015-03-10 |
| 1114283512 | Dhaka Pharmacy Inc | Pharmacy | 4026 75th St, Elmhurst, NY 11373-1012 | 2012-04-10 |
| 1164732731 | Spnc Inc | Pharmacy | 75 23 Broadway, Elmhurst, NY 11373-5612 | 2010-10-18 |
| 1598083479 | Elmhurst Pharmacy & Home Infusion Inc | Pharmacy | 8106 Baxter Ave, Elmhurst, NY 11373-1385 | 2010-05-17 |
| 1972778280 | Kynam Inc | Pharmacy | 8941 Elmhurst Ave, Elmhurst, NY 11373-1537 | 2008-04-28 |
| Find all providers in ELMHURST | ||||
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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.