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WALGREENS #05723
NPI 1285649533
Pharmacy in Bridgeport, CT

Active since July 29, 2006
960 NORTH AVE, BRIDGEPORT, CT 06606(203) 334-6978 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2022, Jan 14, 2019, Nov 26, 2015 (3 updates tracked since 2015).

About Walgreens #05723 NPPES

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

WALGREENS #05723 (NPI 1285649533) is a healthcare organization registered as a pharmacy in Bridgeport, Connecticut and active in the NPI registry since July 2006. The organization lists Kira L Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1285649533
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN EASTERN CO, INC
Location Address960 NORTH AVEBridgeport, CT 06606-5750
Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (217) 709-2351 · Fax (217) 709-2344
Phone(203) 334-6978
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira L TaylorManager · (217) 709-2351
Enumeration DateJuly 29, 2006
Last NPPES UpdateApril 28, 20223 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1285649533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in CT · 1418
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
960 NORTH AVE, Bridgeport, CT 06606
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Other Names 1

Doing Business AsWalgreens #05723

Other Identifiers 3

Medicaid004114055CT
Other0714039Other Id Number-commercial Number
Medicaid004121000 DMECT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #5723 carries, from the Medicare DMEPOS supplier directory.

Walgreens #5723

DMEPOS supplier · Bridgeport, CTOperated by Walgreen Eastern Co Inc
✔

Accepts Medicare assignment

Walgreens #5723 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)20330015
Medicare Participant SinceJanuary 1, 2023
Supplier Location960 North AveBridgeport, CT 06606
Phone(203) 334-6978
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.

JU-SUNG SONG
Pharmacist
960 NORTH AVE
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 334-6978
DR. ABRAHAM KURUVILLA PHARMD
Pharmacist
960 NORTH AVE
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 334-6978
MR. KELV IN W COLE R.PH.
Pharmacist
960 NORTH AVE, WALGREENS
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 334-6978
CONNECTICUT CVS PHARMACY, L.L.C.
Pharmacy
960 NORTH AVE
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 551-3338

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 1285649533. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #05723.

Where is Walgreen Eastern Co, Inc located?

Walgreen Eastern Co, Inc is located at 960 North Ave, Bridgeport, CT 06606. The listed phone number is (203) 334-6978.

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 #5723 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Walgreen Eastern Co, Inc accept?

Health plans from Medica and Moda Health Plan, Inc. 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 April 28, 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.