Walgreen Eastern Co Inc – Pharmacy in Springfield, MA

Key facts

NPI: 1801801006
Entity type: Organization (NPI type 2)
Primary specialty: Pharmacy 333600000X
License: 1901 (MA)
Legal business name: WALGREEN EASTERN CO INC
Practice address: 50 Saint James Blvd
Springfield, MA 01104-2918
Phone: (413) 733-3002
NPI assigned: Jul 29, 2006
Organization subpart: Yes
Parent organization (as reported): WALGREENS BOOTS ALLIANCE INC

Authorized official

Name: Kira Taylor
Title: Manager
Phone: (217) 709-2351

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Walgreen Co Pharmacy · Phoenix, AZ · NPI 1356356695

NPD member Member Of
Walgreen Co Pharmacy · Rio Rancho, NM · NPI 1528073426

NPD member Member Of
Walgreen Co Pharmacy · Menomonie, WI · NPI 1962417048

NPD member Member Of

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Shilpa Denis Cunniffe Pharmacist · Springfield, MA · NPI 1730461062

NPD (past)
Joseph Lewis, PHARM.D. Pharmacist · Springfield, MA · NPI 1609076470

NPD (past)
Laurie J Lukas Pharmacist · Springfield, MA · NPI 1710255922

NPD (past)
Yu Bin Yeung Pharmacist · Springfield, MA · NPI 1598047961

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20071211000174	TX	Part B Supplier - Centralized Flu Biller	7618929993	This NPI is an additional NPI on the enrollment

National Provider Directory

Part of: Walgreens Holding Company

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X	1901	MA	Yes
Community/Retail Pharmacy	3336C0003X

Addresses

Primary practice location

50 Saint James Blvd
Springfield, MA 01104-2918

Mailing address

1901 E Voorhees St
Mailstop #790
Danville, IL 61834-4509
Phone (217) 709-2351

Other identifiers

Identifier	Type	State	Issuer
110000110S	Medicaid	MA
2229765	Other		OTHER ID NUMBER-COMMERCIAL NUMBER

Other names

WALGREENS #02268 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 27, 2023.

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1801801006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MAILSTOP #790",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "217-709-2351",
            "fax_number": "217-709-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SAINT JAMES BLVD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042918",
            "telephone_number": "413-733-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN EASTERN CO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREENS BOOTS ALLIANCE INC",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-709-2351"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MA",
            "license": "1901",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110000110S",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2229765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREENS #02268",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WALGREENS #02268",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

All providers in Springfield, MA · Pharmacy in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.