Walgreen Eastern Co Inc
Walgreen Eastern Co Inc is a healthcare organization registered as Pharmacy in Boston, MA, holding Type 2 (organization) NPI 1063619328 since 2007. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1063619328 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Eastern Co Inc |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 429 BROOKLINE AVE, Boston, MA, 02215 |
| Phone | 6172327506 |
| Fax | 6172327519 |
| Enumeration date | 2007-06-29 |
| Last updated in NPPES | 2026-01-14 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 3534 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110072943R | Medicaid | MA | — |
| 2241901 | Other | — | NCPCP |
Copy-ready billing details
Provider: Walgreen Eastern Co Inc NPI: 1063619328 Taxonomy: 333600000X (Pharmacy) Address: 429 BROOKLINE AVE, Boston, MA, 02215
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619258241 | Karen Poliskey | Individual | Pharmacist | Boston, MA |
| 1164704706 | Ashly Mcphillips | Individual | Pharmacist | Boston, MA |
| 1952739757 | Roy Youn | Individual | Pharmacist | Boston, MA |
| 1285039883 | Justin Thomas | Individual | Pharmacist | Boston, MA |
| 1417499922 | Patryk Kornecki | Individual | Pharmacist | Boston, MA |
| 1760088579 | Ranwa Abbassy | Individual | Pharmacist | Boston, MA |
| 1427645118 | Nicole Hamel | Individual | Pharmacist | Boston, MA |
| 1245992643 | Savannah Mcpherson | Individual | Pharmacist | Boston, MA |
Verify this record
Cross-check NPI 1063619328 against the authoritative CMS record: view Walgreen Eastern Co Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Walgreen Eastern Co Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-14.