WALGREENS SPECIALTY PHARMACY LLC NPI 1619665585

NPI Information

  • NPI: 1619665585
  • Provider Name: WALGREENS SPECIALTY PHARMACY LLC
  • Classification: Pharmacy - 3336S0011X
  • Specialization: Specialty Pharmacy
  • Entity Type: Organization
  • :
  • Address: 140 ENTERPRISE DR
    PITTSBURGH, PA
    ZIP 15275
  • Phone: (217) 709-2351

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NPI Details

WALGREENS SPECIALTY PHARMACY LLC is a specialty pharmacy pharmacy in Pittsburgh, PA. The provider is 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. WALGREENS SPECIALTY PHARMACY LLC NPI is 1619665585. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

140 ENTERPRISE DR
PITTSBURGH, PA
ZIP 15275-213
Phone: (217) 709-2351

The provider's authorized official is Jennifer Ponce .
The authorized official title is Manager and has the following contact phone number (847) 527-2489.

The enumeration date for this NPI number is 4/27/2023 and was last updated on 12/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336S0011XPharmacySpecialty PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14333475MEDICAIDUTAH
29000241158MEDICAIDCOLORADO
3554204901MEDICAIDMARYLAND
4200094500MEDICAIDOKLAHOMA
51619665585MEDICAIDMICHIGAN
61619665585MEDICAIDMONTANA
72305246MEDICAIDWASHINGTON
830015021450005MEDICAIDVIRGINIA
9300093800MEDICAIDINDIANA
10001963828-0009MEDICAIDPENNSYLVANIA
113148509MEDICAIDNEW HAMPSHIRE
127101032800MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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