Active NPI
Walgreen Eastern Co Inc
- Pharmacy
- Westfield, MA
National Provider Identifier
1891700092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 2126
- Legal business name
- WALGREEN EASTERN CO INC
- Practice address
- 78 Main St
Westfield, MA 01085-3128 - Phone
- (413) 568-1929
- NPI assigned
- Jul 29, 2006
- Organization subpart
- Yes
- Parent organization
- WALGREENS BOOTS ALLIANCE INC
Authorized official
NPPES NPI Registry- Name
- Jennifer Ponce
- Title
- Manager
- Phone
- (847) 527-2489
Member of 3
Practitioners 3
-
Alicia A Lehman, RPH
-
Jamie Lynn Oney, PHARMD
-
Yolanda Marisa Tonelli, PHARM.D.
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
Locations
78 Main St
Westfield, MA 01085
Phone (413) 568-1929
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | 2126 | MA | Primary |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
NPPES NPI RegistryPrimary practice location
78 Main St
Westfield, MA 01085-3128
Mailing address
1901 E Voorhees St
Ms 790
Danville, IL 61834-4515
Phone (847) 527-2489
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0439703 | Medicaid | MA | |
| 110000111N | Medicaid | MA | |
| 2232053 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
NPPES NPI Registry- WALGREENS #02710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 30, 2026.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1891700092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E VOORHEES ST",
"address_2": "MS 790",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618344515",
"telephone_number": "847-527-2489",
"fax_number": "217-709-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MAIN ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853128",
"telephone_number": "413-568-1929"
}
],
"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": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "PONCE",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-527-2489"
},
"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": "2126",
"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": "0439703",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110000111N",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "2232053",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WALGREENS #02710",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WALGREENS #02710",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.