WALGREENS SPECIALTY PHARMACY LLC (NPI# 1942303110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942303110 |
| Entity Type | Organization |
| Organization Name | WALGREENS SPECIALTY PHARMACY LLC |
| Other Organization Name | ALLIANCERX WALGREENS PRIME #15438 |
| Practice Address |
41460 Haggerty Cir S Canton MI 48188 |
| Mailing Address |
1901 E Voorhees St Ms #790 Danville IL 61834-4509 |
| Practice Telephone | 8882825166 |
| Practice Fax Number | 8885704700 |
| Mailing Telephone | 2177092386 |
| Mailing Fax Number | 2177092344 |
| Enumeration Date | 2006-09-06 |
| 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 |
5301007754 | MI | Suppliers |
| Y | 333600000X | Pharmacy | 5301007754 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 003788101 | 05 | |
| KY | 54005723 | 05 | |
| KS | 6087791901 | 05 | |
| AL | 10340001 | 05 | |
| IA | 1942303110 | 05 | |
| WA | 6027379 | 05 | |
| UT | 680208702001 | 05 | |
| OH | 0216482 | 05 | |
| IN | 200420720A | 05 | |
| MN | 41398870 | 05 | |
| SC | 7M6565 | 05 | |
| ID | 806675800 | 05 | |
| MT | 0213639 | 05 | |
| TX | 159834402100200 | 05 | |
| MI | 1942303110 | 05 | |
| OH | 2359531 | 05 | |
| MD | 551206900 | 05 | |
| NM | 93227256 | 05 | |
| TN | 2348046 | 05 | |
| WI | 33269100 | 05 | |
| IL | 680208702003 | 05 | |
| VT | 1023139 | 05 | |
| WY | 118687600 | 05 | |
| ID | 1942303110 | 05 | |
| MO | 1942303110 | 05 | |
| PA | 19638280007 | 05 | |
| NCPDP | 2348046 | 01 |
| Other Name | Type Code |
|---|---|
| AllianceRX Walgreens Prime #15438 | 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 |
| 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 |
41460 HAGGERTY CIR S |
| City | CANTON |
| State | MI |
| Zip Code | 48188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030464 | Nour Elsheick | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-10-12 |
| 1134727332 | Sarah Khan | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-10-12 |
| 1346848546 | Kristen Demaline | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-10-12 |
| 1164020368 | Brenda Shih | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-10-12 |
| 1073111274 | Candice Mckay | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-10-12 |
| 1063010262 | Brian Randall | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-10-12 |
| 1003421579 | Zied Kamal Shammout | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-09-11 |
| 1063027530 | Matthew Glenn Young | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-09-11 |
| 1114560430 | Hanna Omar | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2019-10-18 |
| 1306489646 | Maryam R George | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2019-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| 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 |
|---|---|---|---|---|
| 1144727199 | Holly Springs Pharmacy LLC | Pharmacy | 3422 Sixes Rd Ste 302, Canton, GA 30114-9126 | 2018-04-06 |
| 1386004216 | Prestige Medical, LLC | Pharmacy | 7940 N Lilley Rd, Suite A-110, Canton, MI 48187-2432 | 2016-03-04 |
| 1326416611 | Low Cost LLC | Pharmacy | 7940 N Lilley Rd Ste 110, Canton, MI 48187-2432 | 2015-09-03 |
| 1023382314 | Holly Springs Pharmacy LLC | Pharmacy | 3422 Sixes Rd Ste 106, Canton, GA 30114-9120 | 2012-03-04 |
| 1417236894 | Mississippi Discount Drugs LLC | Pharmacy | 276 Nissan Pkwy Ste 300, Canton, MS 39046-7006 | 2011-08-16 |
| 1265769657 | Healthplus Specialty Pharmacy Inc | Pharmacy | 45300 Hanford Rd, Canton, MI 48187-2695 | 2009-11-05 |
| 1306997390 | Mjr Ltd | Pharmacy | 7 Troy St, Canton, PA 17724-1403 | 2007-01-16 |
| 1134203268 | Fulton Road Pharmacy Inc | Pharmacy | 1657 25th St Nw, Canton, OH 44709-3421 | 2006-10-25 |
| 1619066230 | Lewis Family Drug, LLC | Pharmacy | 715 E 5th St, Canton, SD 57013-1829 | 2006-10-12 |
| 1730296914 | Kph Healthcare Services, Inc. | Pharmacy | 40 State Highway 310, Canton, NY 13617-1459 | 2006-08-24 |
| Find all providers in CANTON | ||||
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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.