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ELECTRIC BOAT PHARMACY
NPI 1194919597
Pharmacy in North Kingstown, RI

Active since August 29, 2007CLIA 41D2119658 · Waiver
100 ROMANO VINEYARD WAY, NORTH KINGSTOWN, RI 02852(401) 295-5791(401) 295-5872 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Electric Boat Pharmacy NPPES

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

ELECTRIC BOAT PHARMACY (NPI 1194919597) is a healthcare organization registered as a pharmacy in North Kingstown, Rhode Island and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1194919597
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN EASTERN CO INC
Location Address100 ROMANO VINEYARD WAYNorth Kingstown, RI 02852
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(401) 295-5791
Fax(401) 295-5872
Organization SubpartYesParent: Walgreen Co
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateAugust 29, 2007
Last NPPES UpdateMay 6, 2022
NPPES CertifiedMay 6, 2022
✔ NPI 1194919597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in RI · PHA00506
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 · Managed Care Organization PharmacyTaxonomy 3336M0003X
100 ROMANO VINEYARD WAY, North Kingstown, RI 02852
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Other Names 1

Doing Business AsElectric Boat Pharmacy

Other Identifiers 1

Other4106971Ncpdp Provider Identification Number

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 41D2119658

Electric Boat Family Pharmacy · North Kingstown, RI
Active · expires Oct 2, 2026
CLIA Number41D2119658
Laboratory TypePharmacy
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorEdward G. Misto
Laboratory Phone(401) 295-5791
Laboratory LocationElectric Boat Family Pharmacy100 Romano Vineyard Way, North Kingstown, RI 02852
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1194919597. It was assigned to this organization in the NPPES registry on August 29, 2007. The provider is doing business as Electric Boat Pharmacy.

Where is Walgreen Eastern Co Inc located?

Walgreen Eastern Co Inc is located at 100 Romano Vineyard Way, North Kingstown, RI 02852. The listed phone number is (401) 295-5791.

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 hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2119658) is associated with this NPI, valid through October 2, 2026. 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 47 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 May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.