Walgreen Eastern Co Inc
Walgreen Eastern Co Inc is a healthcare organization registered as Pharmacy in Middletown, CT, holding Type 2 (organization) NPI 1639184989 since 2006. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1639184989 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreen Eastern Co Inc |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 633 WASHINGTON ST, Middletown, CT, 06457 |
| Phone | 8603467628 |
| Enumeration date | 2006-07-29 |
| Last updated in NPPES | 2026-01-26 |
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 | 1511 | CT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0715396 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 940004135829 | Medicaid | CT | — |
Copy-ready billing details
Provider: Walgreen Eastern Co Inc NPI: 1639184989 Taxonomy: 333600000X (Pharmacy) Address: 633 WASHINGTON ST, Middletown, CT, 06457
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730464892 | Jessica Perez | Individual | Pharmacist | Middletown, CT |
| 1184991218 | Brian Fournier | Individual | Pharmacist | Middletown, CT |
| 1154853166 | Jannie Ko | Individual | Pharmacist | Middletown, CT |
| 1912608225 | Rin Moun | Individual | Pharmacist | Middletown, CT |
| 1033097605 | Christopher Godbout | Individual | Pharmacist | Middletown, CT |
Verify this record
Cross-check NPI 1639184989 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
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Where is Walgreen Eastern Co Inc located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2026-01-26.