WALGREEN EASTERN CO, INC (NPI# 1174538169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174538169 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO, INC |
| Other Organization Name | WALGREENS #03549 |
| Practice Address |
630 Chews Landing Rd Lindenwold NJ 08021 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8565660099 |
| Practice Fax Number | 8565660978 |
| 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 | RS005238 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6784500 | 05 | |
| NJ | NCPDP | 3137393 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03549 | 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 |
| 1447265426 | Walgreen Eastern Co, Inc | Durable Medical Equipment & Medical Supplies | 17-77 River Rd, Fair Lawn, NJ 07410 | 2006-07-29 |
| Street Address |
630 CHEWS LANDING RD |
| City | LINDENWOLD |
| State | NJ |
| Zip Code | 08021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578017323 | Robert J Milby | Pharmacist | 630 Chews Landing Rd, Lindenwold, NJ 08021-6756 | 2016-08-10 |
| 1346625266 | Michael B Fiore | Pharmacist | 630 Chews Landing Rd, Lindenwold, NJ 08021-6756 | 2015-07-21 |
| 1487054045 | Michael Joseph Matricciano Jr. | Pharmacist | 630 Chews Landing Rd, Lindenwold, NJ 08021-6756 | 2014-09-01 |
| 1083037907 | Vishalkumar Patel | Pharmacist | 630 Chews Landing Rd, Lindenwold, NJ 08021-6756 | 2014-01-29 |
| 1720365521 | Philip John Maceno IIi | Pharmacist | 630 Chews Landing Rd, Lindenwold, NJ 08021-6756 | 2011-11-08 |
| 1699058784 | Julie Joseph | Pharmacist | 630 Chews Landing Rd, Lindenwold, NJ 08021-6756 | 2011-09-24 |
| 1407137623 | Yuan-yun Ting | Pharmacist | 630 Chews Landing Rd, Lindenwold, NJ 08021-6756 | 2011-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| 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 |
|---|---|---|---|---|
| 1992231815 | Bienestar LLC | Pharmacy | 799 Emerson St, Lindenwold, NJ 08021-1734 | 2017-05-11 |
| 1174891998 | New Hope Pharmacy LLC | Pharmacy | 593 Blackwood Clementon Rd, Lindenwold, NJ 08021-5901 | 2011-12-07 |
| 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 | ||||
| City | LINDENWOLD |
| Zip Code | 08021 |
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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.