WALGREEN EASTERN CO, INC (NPI# 1457366445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457366445 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO, INC |
| Other Organization Name | WALGREENS #05248 |
| Practice Address |
1147 South Ave Plainfield NJ 07062 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 9087577703 |
| Practice Fax Number | 9087572084 |
| Mailing Telephone | 2170792386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2019-07-19 |
| 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 | RS004522 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3132305 | 01 |
| NJ | 4425103 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #05248 | 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 |
| 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 |
1147 SOUTH AVE |
| City | PLAINFIELD |
| State | NJ |
| Zip Code | 07062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205317229 | Ahmed Khattab | Pharmacist | 1147 South Ave, Plainfield, NJ 07062-0706 | 2018-08-27 |
| 1508378076 | Kishan G Patel | Pharmacist | 1147 South Ave, Plainfield, NJ 07060 | 2017-10-24 |
| 1457754376 | Shreya Butala | Pharmacist | 1147 South Ave, Plainfield, NJ 07062-1934 | 2014-10-06 |
| 1053757385 | Saif Alnasseri | Pharmacist | 1147 South Ave, Plainfield, NJ 07062-1934 | 2013-05-14 |
| 1568749778 | Choon Jacobson | Pharmacist | 1147 South Ave, Plainfield, NJ 07062-1934 | 2011-11-16 |
| 1265716864 | Dong L Lin | Pharmacist | 1147 South Ave, Plainfield, NJ 07062-1934 | 2011-10-01 |
| 1194008003 | Robert Ryan Manetta | Pharmacist | 1147 South Ave, Plainfield, NJ 07062-1934 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285299248 | Forrest Lambdon Walker Sr. | Psychologist | 506 South Avenue, Plainfield, NJ 07062 | 2019-05-06 |
| 1275918963 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 628 Terrill Road, Plainfield, NJ 07062 | 2015-07-23 |
| 1780067082 | The Arc of Union County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 936 Terrill Rd, Plainfield, NJ 07062 | 2015-07-06 |
| 1053642538 | Allan D. Tiedrich, M.d. P.a. | Physical Medicine & Rehabilitation | 1304 South Aveune, Plainfield, NJ 07062 | 2010-01-22 |
| 1952553984 | Peter A. Pogany | Pharmacist | 611 Park Ave., Plainfield, NJ 07062 | 2008-10-22 |
| 1174690242 | Allan Don Tiedrich | Physical Medicine & Rehabilitation | 1304 South Avenue, Plainfield, NJ 07062 | 2006-11-30 |
| 1033775630 | Lambdon & Associates Restoration Counseling, Inc | Psychologist | 506 South Avenue, Plainfield, NJ 07062 | 2019-05-20 |
| 1134443435 | Patrice A London | Doula | 836 E 3rd St, Plainfield, NJ 07062-1017 | 2010-03-16 |
| 1073859518 | Ihuoma M Opara | Home Health Aide | 750 E Front St, Apt A12, Plainfield, NJ 07062-1035 | 2013-01-02 |
| 1245412915 | Gertrudis Lamirand | Registered Nurse | 1 Farragut Rd, 151 Knollcroft Rd Lyons, Nj 07939, Plainfield, NJ 07062-1054 | 2007-12-04 |
| Find all providers in zip 07062 | ||||
| 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 |
|---|---|---|---|---|
| 1194099630 | Doyles Dollar Store LLC | Pharmacy | 733 Norwich Rd, Plainfield, CT 06374-1737 | 2012-03-01 |
| 1831334341 | Plainfield Pharmacy | Pharmacy | 204 E Front St, Plainfield, NJ 07060-1317 | 2008-12-12 |
| 1801953963 | Plainfield Drugs Corp | Pharmacy | 603 W 4th St, Plainfield, NJ 07060-2006 | 2007-01-01 |
| 1760555387 | Kroger Limited Partnership I | Pharmacy | 1930 E Main St, Plainfield, IN 46168-1859 | 2006-11-15 |
| 1154374338 | Madison Pharmacy Inc | Pharmacy | 400 W Front St, Plainfield, NJ 07060-1120 | 2006-05-18 |
| 1659478576 | J & P Holding Company Inc | Pharmacy | 611 Park Ave, Plainfield, NJ 07060-1612 | 2006-09-20 |
| 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 | PLAINFIELD |
| Zip Code | 07062 |
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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.