WALGREENS #02325 – NPI #1154336352
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

WALGREENS #02325 is a pharmacy located in LYNN, MA. NPPES has assigned the NPI number 1154336352 to WALGREENS #02325 on July 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WALGREENS #02325” is a dba name, the actual legal business name for this organization is WALGREEN EASTERN CO INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.

The NPI profile was previously updated about 3 years ago on Oct 27, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALGREENS #02325 below.

NPI Profile for
WALGREEN EASTERN CO INC

NPI Number
1154336352
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WALGREEN EASTERN CO INC
Doing Business As (dba): WALGREENS #02325
Primary location
290 BROADWAY
LYNN, MA 01904-1806
Phone: (781) 581-9400 Fax:
Mailing address
1901 E VOORHEES ST
MS 790
DANVILLE, IL 61834-4509
Phone: (217) 709-2351 Fax: (217) 709-2344
Organization Subpart
Yes - WALGREENS #02325 is subpart of another organization.
Authorized Official
KIRA TAYLOR
MANAGER
Phone: (217) 709-2351
Updated
Certification Date
Oct 27, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for WALGREENS #02325

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherOTHER ID NUMBER-COMMERCIAL NUMBER2233663
medicaidMA110000112J
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
333600000X
- Pharmacy (Primary)
MA 2328
3336C0003X
- Pharmacy / Community/Retail Pharmacy
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.