Walgreen Eastern Co Inc
Walgreen Eastern Co Inc is a healthcare organization registered as Pharmacy in Randolph, MA, holding Type 2 (organization) NPI 1417962606 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1417962606 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Eastern Co Inc |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 170 N MAIN ST, Randolph, MA, 02368 |
| Phone | 7819637713 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2026-05-14 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | 2837 | MA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2226884 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 110000109T | Medicaid | MA | — |
Copy-ready billing details
Provider: Walgreen Eastern Co Inc NPI: 1417962606 Taxonomy: 333600000X (Pharmacy) Address: 170 N MAIN ST, Randolph, MA, 02368
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164725461 | Peter Demestihas | Individual | Pharmacist | Randolph, MA |
| 1225310832 | Steven Anderson | Individual | Pharmacist | Randolph, MA |
| 1649552209 | Lisa Lourenco | Individual | Pharmacist | Randolph, MA |
| 1164704722 | Grace Leung | Individual | Pharmacist | Randolph, MA |
| 1558648543 | Tracie Millette-Shuman | Individual | Pharmacist | Randolph, MA |
| 1811274822 | Kasey Arabasz | Individual | Pharmacist | Randolph, MA |
| 1780931410 | Nikki Chau | Individual | Pharmacist | Randolph, MA |
| 1730795014 | Hieu Nguyen | Individual | Pharmacist | Randolph, MA |
Verify this record
Cross-check NPI 1417962606 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 the NPI number for Walgreen Eastern Co Inc?
Who is the authorized official for Walgreen Eastern Co Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-14.