OrganizationActive
Walgreens Specialty Pharmacy LLC
NPI 1417284845 · Specialty Pharmacy · Canton, MI
Walgreens Specialty Pharmacy LLC is a Specialty Pharmacy organization in Canton, MI (NPI 1417284845).
Provider details
- NPI number
- 1417284845
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Parent organization
- Walgreen Co
- Organization subpart
- Yes
- Authorized official
- Jennifer Ponce, Manager(847) 527-2489
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
41460 Haggerty Cir S
Canton, MI 48188-2227
Phone: (888) 282-5166
Fax: (734) 929-0342
Street-level locationGet directions
Mailing address
500 Noblestown Rd
Carnegie, PA 15106-1230
Other names (DBA / former)
- Doing business as
- Walgreens Specialty Pharmacy #15438
Registry dates
- Enumerated
- 2009-11-05
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Frequently asked questions
- What is Walgreens Specialty Pharmacy LLC's NPI number?
- Walgreens Specialty Pharmacy LLC's National Provider Identifier (NPI) is 1417284845, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Walgreens Specialty Pharmacy LLC?
- Walgreens Specialty Pharmacy LLC is classified in the NPPES registry as Specialty Pharmacy (Suppliers).
- Where is Walgreens Specialty Pharmacy LLC located?
- Walgreens Specialty Pharmacy LLC's practice location on file with NPPES is 41460 Haggerty Cir S, Canton, MI 48188-2227.
- What is Walgreens Specialty Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Walgreens Specialty Pharmacy LLC is (888) 282-5166.
- Who is the authorized official for Walgreens Specialty Pharmacy LLC?
- The authorized official listed on Walgreens Specialty Pharmacy LLC's NPPES record is Jennifer Ponce, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Walgreens Specialty Pharmacy LLC's NPI active?
- Yes — Walgreens Specialty Pharmacy LLC's NPI (1417284845) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.