Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WALGREEN EASTERN CO INC
NPI 1356356331
Pharmacy in Fort Lee, NJ

Q: What is Walgreen Eastern Co Inc's NPI number?

The NPI number for Walgreen Eastern Co Inc is 1356356331. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #01879.

Q: What is Walgreen Eastern Co Inc's specialty?

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

Active since July 29, 2006CLIA 31D2036529 · Waiver

2151 LEMOINE AVE, FORT LEE, NJ 07024(201) 947-6772(201) 947-6525 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Jul 30, 2024, Oct 16, 2023 and 3 more (6 updates tracked since 2018).

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About Walgreen Eastern Co Inc NPPES

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

WALGREEN EASTERN CO INC (NPI 1356356331), doing business as Walgreens #01879, is a healthcare organization registered as a pharmacy in Fort Lee, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Jennifer Poncew, Manager, as its authorized official.

NPPES Registry Identity

NPI1356356331

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN EASTERN CO INC

Location Address2151 LEMOINE AVEFort Lee, NJ 07024

Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344

Phone(201) 947-6772

Fax(201) 947-6525

Organization SubpartYesParent: Walgreens Holding Company

Authorized OfficialJennifer PoncewManager · (847) 527-2489

Enumeration DateJuly 29, 2006

Last NPPES UpdateJuly 10, 20266 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1356356331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in NJ · RS003819

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

2151 LEMOINE AVE, Fort Lee, NJ 07024

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Other Names 1

Doing Business AsWalgreens #01879

Other Identifiers 2

Other3127772NJ · Ncpdp

Medicaid4375106NJ

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 31D2036529

Walgreens#01879 · Fort Lee, NJ

Active · expires Aug 23, 2027

CLIA Number31D2036529

Laboratory TypePharmacy

Certificate Effective DateAugust 24, 2025

Certificate Expiration DateAugust 23, 2027

Laboratory DirectorLisa Chen

Laboratory Phone(201) 947-6772

Laboratory LocationWalgreens#018792151 Lemoine Ave, Fort Lee, NJ 07024

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 5

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.

359 services355 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.

246 services244 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.

97 services97 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

39 services39 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

39 services39 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #01879 carries, from the Medicare DMEPOS supplier directory.

Walgreens #01879

DMEPOS supplier · Fort Lee, NJOperated by Walgreen Eastern Co Inc

✔

Accepts Medicare assignment

Walgreens #01879 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)20338481

Medicare Participant SinceJanuary 1, 2023

Supplier Location2151 Lemoine AveFort Lee, NJ 07024

Phone(201) 947-6772

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 20

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

FORT LEE VISION LLC

Eyewear Supplier