WALGREENS SPECIALTY PHARMACY LLC (NPI# 1851463087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851463087 |
| Entity Type | Organization |
| Organization Name | WALGREENS SPECIALTY PHARMACY LLC |
| Other Organization Name | ALLIANCERX WALGREENS PRIME #15443 |
| Practice Address |
10530 John W Elliott Dr Ste 100 Frisco TX 75033 |
| Mailing Address |
1901 E Voorhees St Ms 790 Danville IL 61834-4509 |
| Practice Telephone | 8004249002 |
| Practice Fax Number | 8008749179 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-11-14 |
| 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 |
| 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 |
14412 | TX | Suppliers |
| Y | 333600000X | Pharmacy | 14412 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07033855 | 05 | |
| HI | 685282-01 | 05 | |
| OH | 0216495 | 05 | |
| AR | 185350407 | 05 | |
| IN | 200390000A | 05 | |
| AZ | 498604 | 05 | |
| TX | 466694 | 05 | |
| TN | 491055 | 05 | |
| OR | 500638341 | 05 | |
| SC | 7T4412 | 05 | |
| AK | 1028472 | 05 | |
| WY | 119788601 | 05 | |
| OK | 200037560A | 05 | |
| KY | 7100151520 | 05 | |
| MN | 1851463087 | 05 | |
| NM | 96722339 | 05 | |
| NV | 1851463087 | 05 | |
| VA | 1851463087 | 05 | |
| NCPDP | 4591055 | 01 | |
| MD | 554204900 | 05 | |
| UT | 1851463087 | 05 | |
| MI | 1851463087 | 05 | |
| ID | 1851463087 | 05 | |
| MT | 1851463087 | 05 | |
| WA | 2013289 | 05 | |
| LA | 2204947 | 05 | |
| PA | 00196328280006 | 05 | |
| IA | 1851463087 | 05 | |
| DEA | BI9716587 | 01 |
| Other Name | Type Code |
|---|---|
| AllianceRX Walgreens Prime #15443 | 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 |
| 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 |
| 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 |
10530 JOHN W ELLIOTT DR STE 100 |
| City | FRISCO |
| State | TX |
| Zip Code | 75033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477571404 | Cystic Fibrosis Services LLC | Durable Medical Equipment & Medical Supplies | 10530 John W Elliott Dr, Ste 200, Frisco, TX 75033 | 2006-07-17 |
| 1437766003 | Taryn Alia Blalock | Pharmacy Technician | 10530 John W Elliott Dr, Frisco, TX 75033-2013 | 2020-09-28 |
| 1629586763 | Sajitha Akasala | Pharmacist | 10530 John W Elliott Dr, Frisco, TX 75033-2013 | 2018-01-10 |
| 1457867434 | Jamahla Murgerson | Pharmacist | 10530 John W Elliott Dr, Frisco, TX 75033-2013 | 2017-12-28 |
| 1912411869 | Angel Lofton | Pharmacist | 10530 John W Elliott Dr, Frisco, TX 75033-2013 | 2017-11-29 |
| 1982118246 | Oloruntola Ajayi | Pharmacist | 10530 John W Elliott Dr, Frisco, TX 75033-2013 | 2017-11-24 |
| 1285147686 | Chantelle Bickham-plummer | Pharmacist | 10530 John W Elliott Dr, Frisco, TX 75033-2013 | 2017-11-08 |
| 1942751029 | An Nguyen | Pharmacist | 10530 John W Elliott Dr, Suite 100, Frisco, TX 75033-2013 | 2016-10-24 |
| 1891145736 | Cynthia Burleson | Pharmacist | 10530 John W Elliott Dr, Ste 100, Frisco, TX 75033-2013 | 2016-06-21 |
| 1750742086 | Richard Wendling | Pharmacist | 10530 John W Elliott Dr, Frisco, TX 75033-2013 | 2016-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041370 | Crown Billing LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliot Dr., Ste 700, Frisco, TX 75033 | 2020-07-24 |
| 1205461019 | Affinity Dermatology Pllc | Dermatology | 13052 Dallas Parkway Suite 520, Frisco, TX 75033 | 2020-03-12 |
| 1780214114 | The University of Texas Southwestern Medical Center At Dallas | Pharmacy | 12500 Dallas Pwky, Ste 1.200, Frisco, TX 75033 | 2020-01-24 |
| 1811548050 | Dvt Elimination LLC | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr, Suite 700, Frisco, TX 75033 | 2019-09-27 |
| 1174008163 | Bobby Cineus Renaud | Registered Nurse | 1801 Mccord Way Apt 813, Frisco, TX 75033 | 2018-09-26 |
| 1740762186 | Lisa Powell | Physical Therapist | 3280 Appleblossom Dr, Frisco, TX 75033 | 2018-09-01 |
| 1992283519 | Crown Medical Billing | Durable Medical Equipment & Medical Supplies | 10880 John W Elliott Dr., Suite 700, Frisco, TX 75033 | 2018-08-06 |
| 1780175497 | Kendall Marie Schatzle | Occupational Therapist | 10050 Legacy Dr Ste 200, Frisco, TX 75033 | 2018-05-29 |
| 1932615234 | Pediatrics Plus Therapy | Pediatrics | 6025 Sports Village Road, Frisco, TX 75033 | 2017-12-21 |
| 1932611704 | Parul Vashisht | Dentist | 1606 Fm 423, Suite 200, Frisco, TX 75033 | 2017-11-01 |
| Find all providers in zip 75033 | ||||
| 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 |
|---|---|---|---|---|
| 1548728157 | Sandsrx Frisco LLC | Pharmacy | 5150 Warren Pkwy # 700, Frisco, TX 75034-7462 | 2019-03-04 |
| 1447744545 | Rising Star Group LLC | Pharmacy | 279 W Main St Ste 128, Frisco, TX 75034 | 2018-06-21 |
| 1700309325 | Super Frisco Pharmacy LLC | Pharmacy | 5350 Independence Pkwy Ste 110a, Frisco, TX 75035-4652 | 2017-07-25 |
| 1285173732 | Friscorx and Compounding LLC | Pharmacy | 7227 Main St Ste 201, Frisco, TX 75034-5794 | 2017-02-16 |
| 1275846099 | Rainbow Pharmacists Services LLC | Pharmacy | 11330 Legacy Dr Ste 102, Frisco, TX 75033 | 2010-07-21 |
| 1821253147 | United Supermarkets LLC | Pharmacy | 11999 Dallas Pkwy, Frisco, TX 75033-4272 | 2008-07-25 |
| 1922046051 | Albertsons LLC | Pharmacy | 6951 Preston Rd, Frisco, TX 75034-5817 | 2006-06-02 |
| 1932663390 | Aazzi Trade LLC | Pharmacy | 8049 Preston Rd Ste 600, Frisco, TX 75034-0187 | 2019-01-29 |
| 1124472063 | Preferred Phamily Pharmacy & Compounding | Pharmacy | 7000 Parkwood Blvd Ste F400, Frisco, TX 75034-7415 | 2016-04-18 |
| 1730523580 | Stonebriar Pharmacy | Pharmacy | 3220 Parkwood Blvd, Frisco, TX 75034-1917 | 2013-04-24 |
| Find all providers in FRISCO | ||||
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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.