Organization Active NPI

Walgreen Eastern Co Inc

  • Pharmacy
  • New Hartford, NY
National Provider Identifier
1558729491
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
I060633-1 Issued in NY
Legal business name
WALGREEN EASTERN CO INC
Practice address
49 Kellogg Rd
New Hartford, NY 13413
Phone
(315) 734-1893
Fax
(315) 734-1896
NPI assigned
Feb 7, 2016
Last updated
Aug 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Nicholas Goodman, DRNPI 1588015960
Title
Pharmacist
Phone
(315) 404-4859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X I060633-1 NY Primary

Addresses

Primary practice location

49 Kellogg Rd
New Hartford, NY 13413

Mailing address

49 Kellogg Rd
New Hartford, NY 13413-2849
Phone (315) 734-1893

National Provider Directory

National Provider Directory
Tax ID family
Walgreens Pharmacy 2267338 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 21

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 21

Locations

49 Kellogg Rd
New Hartford, NY 13413
Phone (315) 734-1893

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1558729491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 KELLOGG RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132849",
            "telephone_number": "315-734-1893",
            "fax_number": "315-734-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 KELLOGG RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-734-1893",
            "fax_number": "315-734-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN EASTERN CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-07",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "315-404-4859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "I060633-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.