WALGREENS SPECIALTY PHARMACY LLC (NPI# 1851695936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851695936 |
| Entity Type | Organization |
| Organization Name | WALGREENS SPECIALTY PHARMACY LLC |
| Other Organization Name | WALGREENS SPECIALTY PHARMACY |
| Practice Address |
104 Wilmot Rd Msc 1435 Deerfield IL 60015-5121 |
| Practice Telephone | 2177092386 |
| Mailing Telephone | 2177092386 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2015-01-23 |
| Authorized Official Name | JOHN A MANN (VICE PRESIDENT) |
| Authorized Official Telephone | 8475274640 |
| Is Organization Subpart | Y |
| Parent Organization Name | WALGREENS BOOTS ALLIANCE INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| WALGREENS SPECIALTY PHARMACY | 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 |
| 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 |
104 WILMOT RD MSC 1435 |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851694442 | Happy Harrys Inc | Durable Medical Equipment & Medical Supplies | 104 Wilmot Rd, Deerfield, IL 60015-5121 | 2010-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861985194 | Recept Pharmacy, Lp | Pharmacy | 5501 S Halsted St Ste 147, Chicago, IL 60621-2229 | 2018-06-12 |
| 1669969531 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order | Pharmacy | 3 Saint Elizabeth Blvd Ste 1300, O Fallon, IL 62269-1281 | 2018-04-17 |
| 1861906067 | Pdi Medical IIi LLC | Pharmacy | 1623 Barclay Boulevard, Buffalo Grove, IL 60089 | 2017-11-27 |
| 1952789398 | American Clinical Supplies | Pharmacy | 3101 W Devon Ave # Sto, Chicago, IL 60659-1407 | 2015-05-18 |
| 1437490836 | Alphacare Pharmacy, LLC | Pharmacy | 3207 W Fullerton Ave, Chicago, IL 60647-2511 | 2013-03-09 |
| 1669541876 | Apria Healthcare, Inc. | Pharmacy | 81 Remington Rd, Schaumburg, IL 60173-3707 | 2006-11-06 |
| 1053415653 | Adventist Midwest Health | Pharmacy | 120 North Oak Street, Hinsdale, IL 60521-3829 | 2006-09-12 |
| 1346291499 | Forum Extended Care Svc Inc II | Pharmacy | 4201 W Victoria St, Chicago, IL 60646-6700 | 2006-05-13 |
| 1457347668 | The Carle Foundation Hospital | Pharmacy | 221 N Broadway Ave Ste 100, Urbana, IL 61801-2747 | 2005-09-22 |
| 1710588751 | Op Pharmacy LLC | Pharmacy | 8130 Lehigh Ave, Morton Grove, IL 60053-2627 | 2020-11-05 |
| 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.