National Provider Identifier Database

WALGREENS SPECIALTY PHARMACY LLC
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.


Contact Information

WALGREENS SPECIALTY PHARMACY LLC
130 ENTERPRISE DR
PITTSBURGH, PA15275
Phone: 412-413-8000
Fax: 877-231-8302
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

* Indicates primary specialty

NPI Profile & details for WALGREENS SPECIALTY PHARMACY LLC

NPI Number 1972560688
Legal business name
LBN
WALGREENS SPECIALTY PHARMACY LLC
Authorized official JENNIFER PONCE - (MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 04/27/2006
Last updated 09/30/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: PP415372L
  • AK Medicaid: 1028415
  • AL Medicaid: 164561
  • AR Medicaid: 163032407
  • AZ Medicaid: 875403
  • CA Medicaid: 1972560688
  • CO Medicaid: 85885851
  • CT Medicaid: 003135804
  • DC Medicaid: 81777100
  • DE Medicaid: 250622245
  • GA Medicaid: 003159944A
  • HI Medicaid: 779978
  • IA Medicaid: 1972560688
  • ID Medicaid: 1972560688
  • IN Medicaid: 200463010A
  • KS Medicaid: 200333400A
  • KY Medicaid: 7100162270
  • LA Medicaid: 2202847
  • MA Medicaid: 110103221B
  • MD Medicaid: 4048229-00
  • ME Medicaid: 1972560688
  • MI Medicaid: 1972560688
  • MN Medicaid: 1972560688
  • MO Medicaid: 1972560688
  • MS Medicaid: 04755357
  • MT Medicaid: 214642
  • NC Medicaid: 0395461
  • ND Medicaid: 1482567
  • NE Medicaid: 10026155500
  • NH Medicaid: 3102009
  • NJ Medicaid: 0039683
  • NM Medicaid: 12779024
  • NV Medicaid: 100512960
  • NY Medicaid: 03904592
  • OH Medicaid: 0216524
  • OK Medicaid: 200094500A
  • OR Medicaid: 500603393
  • PA Medicaid: 001963828-0008
  • RI Medicaid: WA95680
  • SC Medicaid: 7P372L
  • TN Medicaid: 3974157
  • TX Medicaid: 580138
  • UT Medicaid: 1972560688
  • VA Medicaid: 1972560688
  • VT Medicaid: 1010753
  • WA Medicaid: P11046424
  • WI Medicaid: 100002237
  • WV Medicaid: 6001307000
  • WY Medicaid: 131971000
  • Other: 3974157 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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