WALGREEN EASTERN CO, INC (NPI# 1285649533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285649533 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO, INC |
| Other Organization Name | WALGREENS #05723 |
| Practice Address |
960 North Ave Bridgeport CT 06606-5750 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 2033346978 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-01-14 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 333600000X | Pharmacy | 1418 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004121000 DME | 05 | |
| CT | 004114055 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0714039 | 01 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05723 | 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 |
| 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 |
| 1003821174 | Walgreen Eastern Co, Inc | Pharmacy | 25 Putnam Pike, Johnston, RI 02919-2029 | 2006-07-29 |
| Street Address |
960 NORTH AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689195 | Ryan Michael Garcia | Pharmacist | 960 North Ave, Bridgeport, CT 06606-5750 | 2018-12-03 |
| 1023411469 | Ju-sung Song | Pharmacist | 960 North Ave, Bridgeport, CT 06606-5750 | 2014-09-30 |
| 1073883302 | Alok K Bhatt | Pharmacist | 960 North Ave, Bridgeport, CT 06606-5750 | 2012-01-03 |
| 1770868366 | Kelv In W Cole | Pharmacist | 960 North Ave, Walgreens, Bridgeport, CT 06606 | 2011-10-15 |
| 1417239153 | Abraham Kuruvilla | Pharmacist | 960 North Ave, Bridgeport, CT 06606-5750 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1023475449 | Albion - Hancock Pharmacy LLC | Pharmacy | 2125 Fairfield Ave, Bridgeport, CT 06605-2639 | 2016-01-16 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1598002479 | Medplex Pharmacy LLC | Pharmacy | 6318 Dixie Hwy, Bridgeport, MI 48722-9566 | 2013-01-11 |
| 1851624407 | B & L Drugs Inc | Pharmacy | 50452 Al Highway 277, Bridgeport, AL 35740-6517 | 2009-09-15 |
| 1588821789 | Bridgeport Pharmacy LLC | Pharmacy | 978 E Main St, Bridgeport, CT 06608-1913 | 2008-05-16 |
| 1164568721 | W Dale Gross | Pharmacy | 2520 Foster Ave, Bridgeport, WA 98813-1029 | 2007-01-30 |
| 1881751287 | Longbines Pharmacy Inc | Pharmacy | 810 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2007-01-03 |
| 1902913189 | Kph Healthcare Services, Inc. | Pharmacy | 7998 Route 31, Bridgeport, NY 13030-9473 | 2006-08-24 |
| 1386679488 | Stop and Shop Supermarket Co LLC | Pharmacy | 4531 Main St, Bridgeport, CT 06606-1818 | 2006-07-11 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on WALGREEN EASTERN CO, INC.
| 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.