Walgreen Eastern Co Inc
Walgreen Eastern Co Inc is a healthcare organization registered as Pharmacy in Brookhaven, PA, holding Type 2 (organization) NPI 1215942206 since 2006. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1215942206 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Eastern Co Inc |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 4098 EDGMONT AVE, Brookhaven, PA, 19015 |
| Phone | 6108768815 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2023-10-27 |
Authorized official
| Name | Kira Taylor |
|---|---|
| Title | Manager |
| Phone | 2177092351 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | PP415200L | PA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3971858 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 07669700044 | Medicaid | PA | — |
Copy-ready billing details
Provider: Walgreen Eastern Co Inc NPI: 1215942206 Taxonomy: 333600000X (Pharmacy) Address: 4098 EDGMONT AVE, Brookhaven, PA, 19015
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1063662849 | Mary Nicholson | Individual | Family Nurse Practitioner | Brookhaven, PA |
| 1174804330 | Kimberly Kleeman | Individual | Pharmacist | Brookhaven, PA |
| 1083995245 | Xiem Nguyen-Yip | Individual | Pharmacist | Brookhaven, PA |
| 1366710873 | Brian Graci | Individual | Pharmacist | Brookhaven, PA |
| 1962829267 | Kimberly Stear | Individual | Family Nurse Practitioner | Brookhaven, PA |
| 1780119933 | Sean Mcdade | Individual | Pharmacist | Brookhaven, PA |
| 1265080378 | Kenny Ao | Individual | Pharmacist | Brookhaven, PA |
| 1407468895 | Richard Dong | Individual | Pharmacist | Brookhaven, PA |
Verify this record
Cross-check NPI 1215942206 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
Where is Walgreen Eastern Co Inc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-10-27.