WALGREEN EASTERN CO, INC (NPI# 1548275894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548275894 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO, INC |
| Other Organization Name | WALGREENS #03192 |
| Practice Address |
649 W Main St Waterbury CT 06702-1082 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 2037575102 |
| 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 | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 1521 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004138873 DME | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0715459 | 01 | |
| CT | 940004135811 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #03192 | 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 |
| 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 |
| 1003821174 | Walgreen Eastern Co, Inc | Pharmacy | 25 Putnam Pike, Johnston, RI 02919-2029 | 2006-07-29 |
| Street Address |
649 W MAIN ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06702-1082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639729775 | Roman B Jani | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2019-09-19 |
| 1043790280 | Christine Mae O'donnell | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2018-08-17 |
| 1790209252 | Thomas Anthony Ouellette | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2017-07-26 |
| 1548710700 | Heraquido Hendriul Dasilva | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2016-10-11 |
| 1487036885 | Jin Kyung Lee | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2015-06-22 |
| 1558778613 | Michael Natale | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2014-07-21 |
| 1558780908 | Linh Tran | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2014-04-14 |
| 1942625900 | Ainsley Moy | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2014-02-28 |
| 1962751313 | Oosha Ojha | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2012-08-30 |
| 1659654291 | Dean Michael Woodruff | Pharmacist | 649 W Main St, Waterbury, CT 06702-1082 | 2011-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1649662313 | Lori Arens | Social Worker | 141 E Main St Fl 4, Waterbury, CT 06702 | 2015-03-04 |
| 1265725584 | Zelda Shleifer | Audiologist | 21 W Main St Fl Place-3, Waterbury, CT 06702 | 2011-05-19 |
| 1700024585 | Charlene Angela Jurgaitis | Durable Medical Equipment & Medical Supplies | 102 Grand Street, Waterbury, CT 06702 | 2009-02-02 |
| 1518090570 | Nathan Z Imre | Pharmacist | 161 East Main St Central Pharmacy, Waterbury, CT 06702 | 2007-03-13 |
| 1922149467 | Rachael A Petitti | Social Worker | 402 East Main Street, Waterbury, CT 06702 | 2007-02-09 |
| 1710024484 | Abbot Terrace Health Center | Assisted Living Facility | 44 Abbott Terrace, Waterbury, CT 06702 | 2007-01-31 |
| 1205994555 | Michael Arcangel Padilla | Social Worker | Western Connecticut Mental Health Network, 55 West Main Street Suite 410, Waterbury, CT 06702 | 2006-12-05 |
| 1205902723 | Colette M Anderson | Social Worker | 55 West Main St Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-27 |
| Find all providers in zip 06702 | ||||
| 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 |
|---|---|---|---|---|
| 1003841107 | Stop and Shop Supermarket Co LLC | Pharmacy | 920 Wolcott St, Waterbury, CT 06705-1300 | 2006-07-11 |
| 1346272200 | Stop and Shop Supermarket Co LLC | Pharmacy | 240 Chase Ave, Waterbury, CT 06704-2237 | 2006-07-07 |
| 1316979289 | Stop and Shop Supermarket Co LLC | Pharmacy | 410 Reidville Dr, Waterbury, CT 06705-2633 | 2006-07-07 |
| 1952357329 | Shaws Supermarkets Inc | Pharmacy | 820 Waterbury Stowe Rd, Waterbury, VT 05676 | 2006-05-26 |
| 1851931091 | Genoa Healthcare, LLC | Pharmacy | 855 Lakewood Rd Ste 100, Waterbury, CT 06704-2483 | 2020-01-15 |
| 1205237476 | Brass City Pharmacy Inc | Pharmacy | 558 Chase Ave, Suite 2b, Waterbury, CT 06704-1947 | 2014-09-08 |
| 1821304478 | Montpelier Pharmacy Inc | Pharmacy | 149 S Main St, Waterbury, VT 05676-1516 | 2010-08-20 |
| 1497807069 | Vincents Rexall Drugs Inc | Pharmacy | 80 South Main St, Waterbury, VT 05676-0059 | 2007-01-17 |
| 1124074745 | Shaws Supermarkets Inc | Pharmacy | 205 Union St, Waterbury, CT 06706-1248 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1700365939 | Genoa Healthcare, LLC | Pharmacy | 43 Woodland St Ste G100, Hartford, CT 06105-2363 | 2018-08-08 |
| 1740771021 | Valisurerx LLC | Pharmacy | 5 Science Park Ste 1, New Haven, CT 06511-1989 | 2018-05-23 |
| 1386141463 | Danbury Pharmacy LLC | Pharmacy | 35 White St Unit 5, Danbury, CT 06810-6678 | 2018-04-06 |
| 1093228306 | Optum Infusion Services 500, Inc. | Pharmacy | 33 N Plains Industrial Rd, Wallingford, CT 06492-5841 | 2017-11-08 |
| 1194264820 | Hartford Pharmacy II Inc | Pharmacy | 57 Park St, Hartford, CT 06106-2520 | 2017-02-14 |
| 1467991190 | Hartford Pharmacy IIi Inc | Pharmacy | 33 New Britain Ave, Hartford, CT 06106-3306 | 2017-02-14 |
| 1275070872 | Maple Pharmacy LLC | Pharmacy | 697 Maple Ave, Hartford, CT 06114-1856 | 2017-01-21 |
| 1770026726 | Phillip Hein | Pharmacy | 1835 Post Rd E, Westport, CT 06880-5666 | 2016-11-23 |
| 1578012324 | Community Health Pharmacy LLC | Pharmacy | 210 Dixwell Ave, New Haven, CT 06511-3416 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
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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.