WALGREENS SPECIALTY PHARMACY LLC (NPI# 1669668752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669668752 |
Entity Type | Organization |
Organization Name | WALGREENS SPECIALTY PHARMACY LLC |
Other Organization Name | ALLIANCERX WALGREENS PRIME #12314 |
Practice Address |
9775 Sw Gemini Dr Ste 1 Beaverton OR 97008 |
Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
Practice Telephone | 8662024014 |
Mailing Telephone | 2177092386 |
Mailing Fax Number | 2177092344 |
Enumeration Date | 2007-09-21 |
Last Update Date | 2019-12-04 |
Authorized Official Name | ALYSSA SWEETEN (MANAGER) |
Authorized Official Telephone | 2177092386 |
Is Organization Subpart | Y |
Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers | ||
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
Y | 333600000X | Pharmacy | RP-0002419 | OR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0216467 | 05 | |
WA | 1092434 | 05 | |
MT | 1669668752 | 05 | |
MI | 1669668752 | 05 | |
OR | 278926 | 05 | |
MD | 417248500 | 05 | |
VA | 1669668752 | 05 | |
AZ | 320618 | 05 | |
IL | 361924025030 | 05 | |
NCPDP | 3842944 | 01 | |
HI | 685274-01 | 05 | |
KS | 200333400E | 05 | |
KY | 7100277090 | 05 | |
SC | 7R2419 | 05 | |
IA | 1669668752 | 05 | |
OK | 200135400A | 05 | |
AK | 1028445 | 05 | |
ID | 1669668752 | 05 | |
CO | 44039751 | 05 | |
ND | 457263 | 05 | |
UT | 1669668752 | 05 | |
MN | 1669668752 | 05 | |
PA | 1021135430001 | 05 | |
NM | 37104811 | 05 | |
TN | 3842944 | 05 | |
IN | 200923000A | 05 | |
NH | 3096653 | 05 |
Other Name | Type Code |
---|---|
AllianceRX Walgreens Prime #12314 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942303110 | Walgreens Specialty Pharmacy LLC | Pharmacy | 41460 Haggerty Cir S, Canton, MI 48188 | 2006-09-06 |
1679526974 | Walgreens Specialty Pharmacy LLC | Pharmacy | 412 Mount Kemble Ave, Suite 300n, Morristown, NJ 07960-6666 | 2006-05-18 |
1972847044 | Walgreens Specialty Pharmacy LLC | Pharmacy | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-11-15 |
1851695936 | Walgreens Specialty Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 104 Wilmot Rd, Msc 1435, Deerfield, IL 60015-5121 | 2011-01-04 |
1417284845 | Walgreens Specialty Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2009-11-05 |
1659513018 | Walgreens Specialty Pharmacy LLC | Pharmacy | 130 Enterprise Dr, Pittsburgh, PA 15275-1213 | 2009-04-01 |
1417100751 | Walgreens Specialty Pharmacy LLC | Pharmacy | 412 Mount Kemble Ave, Suite 300n, Morristown, NJ 07960-6666 | 2008-10-30 |
1851463087 | Walgreens Specialty Pharmacy LLC | Pharmacy | 10530 John W Elliott Dr, Ste 100, Frisco, TX 75033 | 2006-11-14 |
1972560688 | Walgreens Specialty Pharmacy LLC | Pharmacy | 130 Enterprise Dr, Pittsburgh, PA 15275 | 2006-04-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Vermont Business Registrations | WALGREENS SPECIALTY PHARMACY LLC | 104 Wilmot Road, Deerfield, IL 60015 |
Street Address |
9775 SW GEMINI DR STE 1 |
City | BEAVERTON |
State | OR |
Zip Code | 97008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790196509 | Chris Fuegy | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-05-14 |
1720498371 | Nicole Jeane O'kane | Pharmacist | 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008-7148 | 2014-05-05 |
1053721084 | Sharon Okabayashi Branham | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-29 |
1588074520 | Sheryl Blodgett | Pharmacist | 9775 Sw Gemini Dr, Suite 1, Beaverton, OR 97008-7148 | 2014-04-29 |
1538589809 | Elizabeth Asai | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-24 |
1164842597 | Sandra Scott | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-24 |
1346660990 | Clay Parkel | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-22 |
1275953879 | Alan Kanning | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-04-22 |
1235559881 | Brad Craig Boehme | Pharmacist | 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008-7148 | 2014-04-22 |
1508289356 | Stephanie Wang | Pharmacist | 9775 Sw Gemini Dr, Beaverton, OR 97008-7148 | 2014-01-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
Find all providers in zip 97008 |
Taxonomy Code | 333600000X |
Grouping | Suppliers |
Classification | Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497844047 | The Beaverton Pharmacy Inc | Pharmacy | 127 W Brown St, Beaverton, MI 48612-8119 | 2006-10-12 |
1639114705 | Fred Meyer Stores Inc | Pharmacy | 11425 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3050 | 2006-06-20 |
1972847044 | Walgreens Specialty Pharmacy LLC | Pharmacy | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-11-15 |
1114164381 | Oregon Health & Science University | Pharmacy | 15700 Sw Greystone Ct, Beaverton, OR 97006-6011 | 2009-01-09 |
1366497778 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811521784 | Genoa Healthcare, LLC | Pharmacy | 627 Ne Evans St Ste P, Mcminnville, OR 97128-3923 | 2020-02-28 |
1447725502 | Medsavvy, Inc | Pharmacy | 1621 Sw First Ave, Portland, OR 97201-5713 | 2018-10-04 |
1659862936 | Coast Community Health Center | Pharmacy | 716 Highway 101, Port Orford, OR 97465-8672 | 2018-05-23 |
1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
1790294965 | Oregon Health & Science University | Pharmacy | 707 Sw Gaines St Rm 1133, Portland, OR 97239-2901 | 2017-09-20 |
1790202323 | Genoa Healthcare, LLC | Pharmacy | 702 Sunset Dr Ste P1, Ontario, OR 97914-3121 | 2017-08-24 |
1144767427 | Prestige Professional Pharmacy | Pharmacy | 11723 Ne Glisan St, Portland, OR 97220-2141 | 2017-01-25 |
1700321825 | Legacy Emanuel Hospital and Health Center | Pharmacy | Unity Center for Behavioral Health, 1225 Ne 2nd St, Portland, OR 97232 | 2016-12-28 |
1972908077 | Zoom Care PC | Pharmacy | 1455 Nw Irving St Ste 500, Portland, OR 97209-2277 | 2014-10-31 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.