Walgreen Eastern Co Inc
Walgreen Eastern Co Inc is a healthcare organization registered as Pharmacy in Depew, NY, holding Type 2 (organization) NPI 1174530125 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1174530125 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Eastern Co Inc |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 4815 BROADWAY, Depew, NY, 14043 |
| Phone | 7166837971 |
| Enumeration date | 2006-08-02 |
| Last updated in NPPES | 2026-01-24 |
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 | 23101 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3317078 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 01705953 | Medicaid | NY | — |
Copy-ready billing details
Provider: Walgreen Eastern Co Inc NPI: 1174530125 Taxonomy: 333600000X (Pharmacy) Address: 4815 BROADWAY, Depew, NY, 14043
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245433390 | Jeremy Partlow | Individual | Pharmacist | Depew, NY |
| 1851584551 | Elizabeth Thomas | Individual | Pharmacist | Depew, NY |
| 1336314616 | Maura Watson | Individual | Pharmacist | Depew, NY |
| 1346562709 | Audrey Belz | Individual | Pharmacist | Depew, NY |
| 1639491947 | Jennifer Brady | Individual | Pharmacist | Depew, NY |
| 1760867469 | Paige Schmidt | Individual | Pharmacist | Depew, NY |
| 1558956680 | Brian Mattina-Chmiel | Individual | Pharmacist | Depew, NY |
| 1750164265 | Colin Smith | Individual | Pharmacist | Depew, NY |
Verify this record
Cross-check NPI 1174530125 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
How current is this record?
Where is Walgreen Eastern Co Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-24.