- Practice location
- 17-77 River RD, Fair Lawn, NJ 07410
- Phone
- 201-796-1142
- Fax
- —
- Last updated
- August 21, 2026
Walgreen Eastern Co INC is a healthcare organization based in Fair Lawn, NJ. Walgreen Eastern Co INC practices in Fair Lawn, NJ. The NPI Number for Walgreen Eastern Co INC is 1447265426 and holds a License No. RS003827 (NJ). The current practice location address for Walgreen Eastern Co INC is 17-77 River RD, Fair Lawn, NJ 07410 and can be reached out via phone at 201-796-1142.
Provider Profile Details
- NPI Number
- 1447265426
- Provider Name
- Walgreen Eastern Co INC
- Provider Entity Type
- Organization
- Address
- 17-77 River RD, Fair Lawn, NJ 07410
- Phone Number
- 201-796-1142
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- Yes
- Parent Organization
- Walgreens Holding Company
- Authorized Official
- Jennifer Ponce · Manager · 847-527-2489
- Other Names
- Walgreens #04361 (Doing Business As)
- Provider Enumeration Date
- July 29, 2006
- Last Update Date
- August 21, 2026
- Certification Date
- August 21, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17-77 River RD
Fair Lawn, NJ 07410 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410
- Phone Number
- 201-796-1142
Provider Business Mailing Address Details
- Address
- 1901 E Voorhees St
Mailstop #790
Danville, IL 61834-4509 - City
- Danville
- State
- IL
- Zip
- 61834-4509
- Phone Number
- 847-527-2489
- Fax Number
- 217-709-2344
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- RS003827
- License State (2)
- NJ
- Taxonomy (2)
- Pharmacy · 333600000X · Primary
- Taxonomy (3)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy providers near Fair Lawn, NJ
View all Pharmacy providers in Fair Lawn →Frequently Asked Questions
What is the NPI number of Walgreen Eastern Co INC?
The NPI number of Walgreen Eastern Co INC is 1447265426. It was assigned on July 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Walgreen Eastern Co INC?
Walgreen Eastern Co INC is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number RS003827.
Where does Walgreen Eastern Co INC practice?
The practice location is 17-77 River RD, Fair Lawn, NJ 07410. The office can be reached at 201-796-1142 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447265426 directly on the NPPES registry website.