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WALGREENS SPECIALTY PHARMACY LLC NPI 1669668752


NPI Information

NPI: 1669668752
Provider Name: WALGREENS SPECIALTY PHARMACY LLC

Doing Business As: ALLIANCERX WALGREENS PRIME #12314

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
9775 SW GEMINI DR
STE 1
BEAVERTON, OR
ZIP 97008
Phone: (866) 202-4014
Get Directions

WALGREENS SPECIALTY PHARMACY LLC is a pharmacy in Beaverton, OR. The provider is 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. WALGREENS SPECIALTY PHARMACY LLC NPI is 1669668752. The provider is registered as an organization entity type.
The provider Is Doing Business As Alliancerx Walgreens Prime #12314.

The provider's business location address is:

9775 SW GEMINI DR
STE 1
BEAVERTON, OR
ZIP 97008
Phone: (866) 202-4014

The provider's authorized official is Kira Taylor .
The authorized official title is Manager and has the following contact phone number (217) 709-2351.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 5/11/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyRP-0002419OREGONYes
23336H0001XPharmacyHome Infusion Therapy PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11669668752MEDICAIDIDAHO
2320618MEDICAIDARIZONA
33842944OTHERNCPDP
40216467MEDICAIDOHIO
51669668752MEDICAIDUTAH
61669668752MEDICAIDMONTANA
71669668752MEDICAIDIOWA
83842944MEDICAIDTENNESSEE
91092434MEDICAIDWASHINGTON
101669668752MEDICAIDVIRGINIA
11200135400AMEDICAIDOKLAHOMA
1237104811MEDICAIDNEW MEXICO
1344039751MEDICAIDCOLORADO
14457263MEDICAIDNORTH DAKOTA
151028445MEDICAIDALASKA
16200923000AMEDICAIDINDIANA
17278926MEDICAIDOREGON
18554205700MEDICAIDMARYLAND
191669668752MEDICAIDMICHIGAN
201021135430001MEDICAIDPENNSYLVANIA
211669668752MEDICAIDMINNESOTA
227100277090MEDICAIDKENTUCKY
23200333400EMEDICAIDKANSAS
247R2419MEDICAIDSOUTH CAROLINA
25685274-01MEDICAIDHAWAII

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.