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WALGREENS #06161
NPI 1710992797
Pharmacy in Elmwood Park, NJ

Active since July 29, 2006CLIA 31D2036246 · Waiver
100 BROADWAY UNIT 15, ELMWOOD PARK, NJ 07407(201) 796-0204(201) 475-1712 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, May 4, 2022, Jul 19, 2019 and 2 more (5 updates tracked since 2015).

About Walgreens #06161 NPPES

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

WALGREENS #06161 (NPI 1710992797) is a healthcare organization registered as a pharmacy in Elmwood Park, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1710992797
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREEN EASTERN CO INC
Location Address100 BROADWAY UNIT 15Elmwood Park, NJ 07407-3025
Mailing Address1901 E Voorhees St, Mailstop #790Danville, IL 61834-4509 · (217) 709-2364 · Fax (217) 709-2344
Phone(201) 796-0204
Fax(201) 475-1712
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialVirginia GarzaManager · (217) 709-2364
Enumeration DateJuly 29, 2006
Last NPPES UpdateAugust 28, 20245 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
✔ NPI 1710992797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · RS001007
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
100 BROADWAY UNIT 15, Elmwood Park, NJ 07407
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Other Names 1

Doing Business AsWalgreens #06161

Other Identifiers 2

Other3100411NJ · Ncpdp
Medicaid4263600NJ

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 31D2036246

Walgreens#06161 · Elmwood Park, NJ
Active · expires Mar 24, 2027
CLIA Number31D2036246
Laboratory TypePharmacy
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorTamisha Charles-Cacho
Laboratory Phone(201) 796-0204
Laboratory LocationWalgreens#06161100 Broadway, Elmwood Park, NJ 07407
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.
148 services147 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.
88 services88 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.
50 services50 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens #6161 carries, from the Medicare DMEPOS supplier directory.

Walgreens #6161

DMEPOS supplier · Elmwood Park, NJOperated by Walgreen Eastern Co Inc
✔

Accepts Medicare assignment

Walgreens #6161 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)20338493
Medicare Participant SinceJanuary 1, 2023
Supplier Location100 BroadwayElmwood Park, NJ 07407
Phone(201) 796-0204
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.

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 1710992797. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #06161.

Where is Walgreen Eastern Co Inc located?

Walgreen Eastern Co Inc is located at 100 Broadway Unit 15, Elmwood Park, NJ 07407. The listed phone number is (201) 796-0204.

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 #6161 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 31D2036246) is associated with this NPI, valid through March 24, 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 August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.