Active NPI
Walgreen Eastern Co Inc
- Pharmacy
- New Hartford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- I060633-1
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Nicholas Goodman, DR
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 2267
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.
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.
-
- Pharmacist
- New Hartford, NY
- NPI 1588015960
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.