WALGREEN EASTERN CO, INC (NPI# 1710992797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710992797 |
| Entity Type | Organization |
| Organization Name | WALGREEN EASTERN CO, INC |
| Other Organization Name | WALGREENS #06161 |
| Practice Address |
100 Broadway Elmwood Park NJ 07407 |
| Mailing Address |
1901 E Voorhees St Mailstop #790 Danville IL 61834-4509 |
| Practice Telephone | 2017960204 |
| Practice Fax Number | 2014751712 |
| Mailing Telephone | 2177092386 |
| 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 | RS001007 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NCPDP | 3100411 | 01 |
| NJ | 4263600 | 05 |
| Other Name | Type Code |
|---|---|
| WALGREENS #06161 | 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 |
100 BROADWAY |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376154294 | Kelly Vuong | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2020-08-13 |
| 1811442551 | Suchitra Ghumwala | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2016-08-23 |
| 1952770695 | Payal Anil Patel | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2015-09-23 |
| 1427488535 | Katie Hoang | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2013-11-26 |
| 1033486071 | Nimisha S Solanki | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2011-11-18 |
| 1417224593 | Kajal Patel | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2011-11-17 |
| 1235413725 | Tejal Patel | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2011-10-04 |
| 1932482734 | Jessica Obara | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2011-09-28 |
| 1700169836 | Arlene Del Rosario | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2011-09-26 |
| 1770865156 | Hazel Sangil Mongelli | Pharmacist | 100 Broadway, Elmwood Park, NJ 07407-3025 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| 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 |
|---|---|---|---|---|
| 1013006709 | Elmwood Drugs Inc | Pharmacy | 73 Broadway, Elmwood Park, NJ 07407-3007 | 2006-10-12 |
| 1992848840 | Elmwood Drugs Com LLC | Pharmacy | 73 Broadway, Elmwood Park, NJ 07407-3007 | 2007-02-14 |
| 1093746133 | K Mart Corp | Pharmacy | 180 Broadway, Elmwood Park, NJ 07407-3052 | 2006-07-06 |
| 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 | ELMWOOD PARK |
| Zip Code | 07407 |
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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.