WALGREENS #04145
NPI 1912912080
Pharmacy in Providence, RI

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

The NPI number for Walgreen Eastern Co Inc is 1912912080. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Walgreens #04145.

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, 2006

533 ELMWOOD AVE, PROVIDENCE, RI 02907(401) 781-7930 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, Jul 17, 2019 (2 updates tracked since 2019).

On this page

About Walgreens #04145 NPPES

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

WALGREENS #04145 (NPI 1912912080) is a healthcare organization registered as a pharmacy in Providence, Rhode Island and active in the NPI registry since July 2006. The organization lists Virginia Garza, Manager, as its authorized official.

NPPES Registry Identity

NPI1912912080

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREEN EASTERN CO INC

Location Address533 ELMWOOD AVEProvidence, RI 02907-1758

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

Phone(401) 781-7930

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialVirginia GarzaManager · (217) 709-2364

Enumeration DateJuly 29, 2006

Last NPPES UpdateAugust 28, 20242 updates tracked since enumeration

NPPES CertifiedAugust 28, 2024

✔ NPI 1912912080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in RI · 226

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

533 ELMWOOD AVE, Providence, RI 02907

Open in Google Maps ↗

Other Names 1

Doing Business AsWalgreens #04145

Other Identifiers 3

Medicaid1670164RI

MedicaidWE21208RI

Other4105703Other 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 ›

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.

33 services32 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.

16 services16 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.

13 services13 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Walgreens Pharmacy 04145 carries, from the Medicare DMEPOS supplier directory.

Walgreens Pharmacy 04145

DMEPOS supplier · Providence, RIOperated by Walgreen Eastern Co Inc

✔

Accepts Medicare assignment

Walgreens Pharmacy 04145 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)20336759

Medicare Participant SinceJanuary 1, 2023

Supplier Location533 Elmwood AveProvidence, RI 02907

Phone(401) 781-7930

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 13

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

DR. ANTHONIA KUTI PHARMD

Pharmacist