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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Walgreen Eastern Co Inc

Pharmacy in Randolph, MA · enumerated 2006 · authorized official Jennifer Ponce, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417962606

Verified

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Registry record

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
Enumeration date Jul 29, 2006
Last updated in NPPES May 14, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 2837 (MA) Primary
3336C0003X Community/Retail Pharmacy Suppliers Secondary

Authorized official

Name Jennifer Ponce
Title Manager

Other identifiers

Identifier Type State Issuer
2226884 Other - OTHER ID NUMBER-COMMERCIAL NUMBER
110000109T Medicaid MA -

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.

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Frequently asked questions

What is the NPI number for Walgreen Eastern Co Inc?
The NPI for Walgreen Eastern Co Inc is 1417962606, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Walgreen Eastern Co Inc?
NPPES lists Jennifer Ponce (Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-14.