Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1417284845
Walgreens Specialty Pharmacy Llc
Organization Subpart: YES
Active
NPI Number1417284845
NPI TypeNPI-2 Organization
SpecialtyPharmacy, Specialty Pharmacy
Provider Details
NPI1417284845
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2009-11-05
Last Updated2024-10-08
Authorized OfficialJennifer Ponce
Manager
Phone: 8475272489
Mailing Address500 Noblestown Rd
Carnegie, PA 15106-1230
United States
📍 View Map
Primary Practice Address41460 Haggerty Cir S
Canton, MI 48188-2227
United States
Phone: (888) 282-5166 | Fax: (734) 929-0342
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No332B00000X – Durable Medical Equipment & Medical Supplies--
No333600000X – Pharmacy--
No3336C0004X – Pharmacy, Compounding Pharmacy--
Yes3336S0011X – Pharmacy, Specialty Pharmacy--
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About NPI 1417284845

Walgreens Specialty Pharmacy Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1417284845. The primary specialty listed is Pharmacy, Specialty Pharmacy. The organization is located in Canton, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-11-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1417284845?

NPI 1417284845 belongs to Walgreens Specialty Pharmacy Llc, a Pharmacy, Specialty Pharmacy in Canton, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1417284845 active?

The current status of NPI 1417284845 in the NPPES registry is Active. The record was last updated on 2024-10-08.

What specialty is NPI 1417284845?

NPI 1417284845 is classified under the taxonomy Pharmacy, Specialty Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1417284845?

You can verify NPI 1417284845 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1417284845?

The primary practice address on file for NPI 1417284845 is 41460 Haggerty Cir S, Canton, MI 48188-2227. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1417284845 issued?

NPI 1417284845 was first issued (enumerated) on 2009-11-05. The NPPES record was last updated on 2024-10-08.

Practice Location Map

Walgreens Specialty Pharmacy Llc is located at 41460 Haggerty Cir S, Canton, MI. Use the map below to find directions or verify the practice location.

📍 41460 Haggerty Cir S, Canton, MI 48188-2227  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Walgreens Specialty Pharmacy Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162