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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

WALGREEN EASTERN CO, INC
NPI 1174538169
Pharmacy in Lindenwold, NJ

Active since July 29, 2006CLIA 31D2034973 · Waiver
630 CHEWS LANDING RD, LINDENWOLD, NJ 08021(856) 566-0099(856) 566-0978 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Oct 16, 2023, Mar 9, 2022 and 2 more (5 updates tracked since 2018).

About Walgreen Eastern Co, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREEN EASTERN CO, INC (NPI 1174538169), doing business as Walgreens #03549, is a healthcare organization registered as a pharmacy in Lindenwold, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1174538169
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN EASTERN CO, INC
Location Address630 CHEWS LANDING RDLindenwold, NJ 08021
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(856) 566-0099
Fax(856) 566-0978
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateJuly 10, 20265 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1174538169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · RS005238
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
630 CHEWS LANDING RD, Lindenwold, NJ 08021
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Other Names 1

Doing Business AsWalgreens #03549

Other Identifiers 2

Other3137393NJ · Ncpdp
Medicaid6784500NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2034973

Walgreens #03549 · Lindenwold, NJ
Active · expires Apr 4, 2027
CLIA Number31D2034973
Laboratory TypePharmacy
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorBrandon J. Ciarlante
Laboratory Phone(856) 566-0099
Laboratory LocationWalgreens #03549630 Chews Landing Road, Lindenwold, NJ 08021
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
89 services89 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
55 services55 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
26 services26 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #03549 carries, from the Medicare DMEPOS supplier directory.

Walgreens #03549

DMEPOS supplier · Lindenwold, NJOperated by Walgreen Eastern Co Inc
✔

Accepts Medicare assignment

Walgreens #03549 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20336777
Medicare Participant SinceJanuary 1, 2023
Supplier Location630 Chews Landing RdLindenwold, NJ 08021
Phone(856) 566-0099
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISHALKUMAR PATEL
Pharmacist
630 CHEWS LANDING RD
LINDENWOLD, NJ 08021
Camden County (856) 566-0099
YUAN-YUN TING
Pharmacist
630 CHEWS LANDING RD
LINDENWOLD, NJ 08021
Camden County (856) 566-0099
RIDDHI P PATEL
Pharmacist
630 CHEWS LANDING RD
LINDENWOLD, NJ 08021
Camden County (856) 566-0099
DR. MICHAEL JOSEPH MATRICCIANO JR. PHARMD
Pharmacist
630 CHEWS LANDING RD
LINDENWOLD, NJ 08021
Camden County (856) 566-0099
ROBERT J MILBY PHARMD
Pharmacist
630 CHEWS LANDING RD
LINDENWOLD, NJ 08021
Camden County (856) 566-0099
DR. JULIE JOSEPH PHARMD
Pharmacist
630 CHEWS LANDING RD
LINDENWOLD, NJ 08021
Camden County (856) 566-0099
MR. PHILIP JOHN MACENO III RPH
Pharmacist
630 CHEWS LANDING RD
LINDENWOLD, NJ 08021
Camden County (856) 566-0099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreen Eastern Co, Inc's NPI number?

The NPI number for Walgreen Eastern Co, Inc is 1174538169. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03549.

Where is Walgreen Eastern Co, Inc located?

Walgreen Eastern Co, Inc is located at 630 Chews Landing Rd, Lindenwold, NJ 08021. The listed phone number is (856) 566-0099.

What is Walgreen Eastern Co, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Walgreen Eastern Co, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Walgreens #03549 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Walgreen Eastern Co, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2034973) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Walgreen Eastern Co, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 39 other insurers list Walgreen Eastern Co, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreen Eastern Co, Inc was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.