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WALGREEN EASTERN CO INC
NPI 1265447312
Pharmacy in Tonawanda, NY

Active since July 29, 2006CLIA 33D2237091 · Waiver
10 YOUNG ST, TONAWANDA, NY 14150(716) 692-1894 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, Oct 27, 2023, Dec 18, 2018 (3 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 1265447312), doing business as Walgreens #03897, is a healthcare organization registered as a pharmacy in Tonawanda, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1265447312
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN EASTERN CO INC
Location Address10 YOUNG STTonawanda, NY 14150-2208
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344
Phone(716) 692-1894
Organization SubpartYesParent: Walgreens Holding Company
Authorized OfficialJennifer PonceManager · (847) 527-2489
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 15, 20263 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1265447312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NY · 23099
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
10 YOUNG ST, Tonawanda, NY 14150
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Other Names 1

Doing Business AsWalgreens #03897

Other Identifiers 2

Medicaid01701697NY
Other3316379Other Id Number-commercial 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 33D2237091

Walgreens No 03897 · Tonawanda, NY
Active · expires Mar 26, 2027
CLIA Number33D2237091
Laboratory TypePharmacy
Certificate Effective DateSeptember 22, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Zeiad A. Fakhouri
Laboratory Phone(716) 692-1894
Laboratory LocationWalgreens No 0389710 Young St, Tonawanda, NY 14150
CLIA data matches this NPI record on: Address 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.
67 services66 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.
41 services41 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.
12 services12 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #03897 carries, from the Medicare DMEPOS supplier directory.

Walgreens #03897

DMEPOS supplier · Tonawanda, NYOperated by Walgreen Eastern Co Inc
✔

Accepts Medicare assignment

Walgreens #03897 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)20338223
Medicare Participant SinceJanuary 1, 2023
Supplier Location10 Young StTonawanda, NY 14150
Phone(716) 692-1894
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 4

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

MR. ANDREW M MONTANTE RPH.
Pharmacist
10 YOUNG ST
TONAWANDA, NY 14150
Erie County (716) 692-1894
ROBERT EUGENE MCLEAN
Pharmacist
10 YOUNG ST
TONAWANDA, NY 14150
Erie County (716) 692-1894
DR. DAWN MARIE HOFFMANN PHARMD
Pharmacist
10 YOUNG ST
TONAWANDA, NY 14150
Erie County (716) 692-1894
JAMES GRINCHISHIN
Pharmacist
10 YOUNG ST
TONAWANDA, NY 14150
Erie County (716) 692-1894

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 1265447312. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #03897.

Where is Walgreen Eastern Co Inc located?

Walgreen Eastern Co Inc is located at 10 Young St, Tonawanda, NY 14150. The listed phone number is (716) 692-1894.

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 #03897 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 33D2237091) is associated with this NPI, valid through March 26, 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 June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.