WALGREEN EASTERN CO INC (NPI# 1104831288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104831288 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO INC |
| Other Organization Name | WALGREENS #02055 |
| Practice Address |
10962 Francis Lewis Blvd Queens Village NY 11429-1753 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 7187404612 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| 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 | 20874 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01230437 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3397987 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #02055 | 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 |
10962 FRANCIS LEWIS BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11429-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354518 | Gahyun Kim | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1723 | 2020-10-20 |
| 1831721828 | Abdul Mateen | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1723 | 2020-02-07 |
| 1922582527 | Hyungjun Yoon | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1753 | 2018-09-19 |
| 1144704834 | Cho Chak Sze | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1753 | 2018-09-19 |
| 1346769791 | Arooj Sharif | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429 | 2017-09-18 |
| 1225351422 | Ego Ahaneku | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1753 | 2010-03-03 |
| 1972826279 | Stephanie Tsai | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1753 | 2010-03-01 |
| 1891017414 | Anthea Wan | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1753 | 2010-02-23 |
| 1134358195 | Nicholas Lau | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1753 | 2009-07-10 |
| 1952582033 | Shellyann Rampersad | Pharmacist | 10962 Francis Lewis Blvd, Queens Village, NY 11429-1753 | 2007-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106199 | Cynthia Joseph | Nutritionist | 100-11 208th Street, Queens Village, NY 11429 | 2020-02-13 |
| 1457917338 | Latoya Coleman | Social Worker | 111-41 Colfax Street, Queens Village, NY 11429 | 2019-05-15 |
| 1194294801 | Nats Ny Inc | Pharmacy | 10311 Springfield Blvd, Queens Village, NY 11429 | 2018-11-26 |
| 1912430901 | Firmause Payen | Specialist | 98-35 211th Street, Queens Village, NY 11429 | 2017-04-06 |
| 1891238515 | Kristen Joassaint | Licensed Practical Nurse | 99-09 217th Lane, Queens Village, NY 11429 | 2016-11-29 |
| 1538615877 | Melissa Glenn | Social Worker | 221-26 111th Ave, Queens Village, NY 11429 | 2016-08-28 |
| 1295190627 | Apak Chiropractic | Chiropractor | 218-02 Hempstead Avenue, 2nd Floor, Queens Village, NY 11429 | 2015-12-30 |
| 1548636996 | Donetta Thomas | Licensed Practical Nurse | 20940 111th Avenue, Queens Village, NY 11429 | 2015-08-19 |
| 1407222920 | Elizabeth O Shodimu | Nutritionist | 110-16 Sutphin Blvd, 111-08 Witthoff Street, Queen's Village, NY 11429 | 2015-08-19 |
| 1669869582 | Koffi Kodoe | Skilled Nursing Facility | 21223 Hollis Ave, Queens Village, NY 11429 | 2015-04-17 |
| Find all providers in zip 11429 | ||||
| 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 |
|---|---|---|---|---|
| 1194294801 | Nats Ny Inc | Pharmacy | 10311 Springfield Blvd, Queens Village, NY 11429 | 2018-11-26 |
| 1164943981 | Queens Village Pharmacy Inc. | Pharmacy | 21444 Hillside Ave, Queens Village, NY 11427-1830 | 2017-07-01 |
| 1023488681 | Wellmart Rx, Inc. | Pharmacy | 21913 Jamaica Ave, Queens Village, NY 11428-2126 | 2015-09-25 |
| 1790880557 | Kassel Pharmacy Ltd | Pharmacy | 21811 Jamaica Ave, Queens Village, NY 11428-2124 | 2006-09-14 |
| 1245265768 | Springfield Pharmacy Inc | Pharmacy | 9037 Springfield Blvd, Queens Village, NY 11428-1352 | 2006-07-12 |
| 1467495747 | Gvg Pharmacy Inc. | Pharmacy | 206 08 Hollis Ave, Queens Village, NY 11429 | 2006-06-14 |
| 1508810755 | Khs Pharmacy Inc | Pharmacy | 220 08 Hempsted Ave, Queens Village, NY 11429 | 2006-05-20 |
| 1659356012 | Kvs Pharmacy Inc. | Pharmacy | 112-10 Springfield Blvd, Queens Village, NY 11429-2650 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758141 | North Shore Chemists LLC | Pharmacy | 800 Northern Blvd Ste 4, Great Neck, NY 11021-5314 | 2020-10-22 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1023625548 | Otc Group LLC | Pharmacy | 2792 Ocean Ave Unit 5, Brooklyn, NY 11229-4730 | 2020-09-29 |
| 1932712817 | Guoyi Lin | Pharmacy | 13351 41st Rd First Floor, Flushing, NY 11355-5837 | 2020-08-28 |
| 1740891001 | Cureatr Inc | Pharmacy | 17 W 20th St Fl 3, New York, NY 10011-3702 | 2020-08-11 |
| 1609486562 | Phils Pill Pharmacy, Inc | Pharmacy | 8387 Woodhaven Blvd, Jamaica, NY 11421-1533 | 2020-08-05 |
| 1679182349 | Marvel Pharmacy Inc | Pharmacy | 9612 Liberty Ave, Ozone Park, NY 11417-1624 | 2020-07-28 |
| 1114545837 | Edgar Murcia | Pharmacy | 7702 Roosevelt Ave Ste C, Jackson Heights, NY 11372-6604 | 2020-07-09 |
| 1811513724 | Link Pharmacy | Pharmacy | 456 Avenue P, Brooklyn, NY 11223-2895 | 2020-06-17 |
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11429 |
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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.