WALGREENS SPECIALTY PHARMACY LLC


Address: 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008
Phone: 8662024014

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
AllianceRX Walgreens Prime #12314 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Vermont Business Registrations WALGREENS SPECIALTY PHARMACY LLC 104 Wilmot Road, Deerfield, IL 60015

Office Location

Street Address 9775 SW GEMINI DR
STE 1
City BEAVERTON
State OR
Zip Code 97008

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy 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.
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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BEAVERTON
Zip Code 97008

Improve Information

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Dataset Information

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.

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