WALGREENS SPECIALTY PHARMACY LLC (NPI# 1679526974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679526974 |
| Entity Type | Organization |
| Organization Name | WALGREENS SPECIALTY PHARMACY LLC |
| Other Organization Name | WALGREENS SPECIALTY PHARMACY #12313 |
| Practice Address |
412 Mount Kemble Ave Suite 300n Morristown NJ 07960-6666 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8008764545 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | MR. ALAN T NIELSEN (TREASURER) |
| Authorized Official Telephone | 8473153523 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 28RS00656500 | NJ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0097586 | 05 | |
| NCPDP | 3144247 | 01 |
| Other Name | Type Code |
|---|---|
| Walgreens Specialty Pharmacy #12313 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668752 | Walgreens Specialty Pharmacy LLC | Pharmacy | 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008 | 2007-09-21 |
| 1942303110 | Walgreens Specialty Pharmacy LLC | Pharmacy | 41460 Haggerty Cir S, Canton, MI 48188 | 2006-09-06 |
| 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 |
412 MOUNT KEMBLE AVE SUITE 300N |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417100751 | Walgreens Specialty Pharmacy LLC | Pharmacy | 412 Mount Kemble Ave, Suite 300n, Morristown, NJ 07960-6666 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| 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 |
|---|---|---|---|---|
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1144654245 | Vitalmedrx | Pharmacy | 235 E Morris Blvd, Morristown, TN 37813-2342 | 2013-08-26 |
| 1104195163 | White's Healthcare Enterprises Inc,. | Pharmacy | 60b South St, Morristown, NJ 07960 | 2011-12-21 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1316261324 | Pharmacy Express | Pharmacy | 1706 Buffalo Trl, Morristown, TN 37814-4250 | 2010-03-19 |
| 1518079516 | Morristown Pharmacy LLC | Pharmacy | 76 Morris St, Morristown, NJ 07960-4182 | 2006-08-31 |
| 1134130701 | Mp Operating LLC Dba Morristown Pharmacy | Pharmacy | 925 W 4th North St, Morristown, TN 37814-3814 | 2006-08-10 |
| 1225049893 | Ccd Operating LLC Dba Crescent Center Drugs | Pharmacy | 228 North Fairmont Avae, Morristown, TN 37814 | 2006-08-10 |
| 1679519169 | Rippetoe Inc | Pharmacy | 3336 W Andrew Johnson Hwy, Morristown, TN 37814-3621 | 2006-06-21 |
| 1407804636 | Whites Health Care Enterprise Inc | Pharmacy | 60a South St, Morristown, NJ 07960-7258 | 2006-05-04 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on WALGREENS SPECIALTY PHARMACY LLC.
| 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.