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WALGREENS SPECIALTY PHARMACY #15438
NPI 1417284845
Pharmacy - Specialty Pharmacy in Canton, MI

Active since November 05, 2009
41460 HAGGERTY CIR S, CANTON, MI 48188(888) 282-5166(734) 929-0342 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Mar 4, 2019, Jan 28, 2019 (3 updates tracked since 2019).

About Walgreens Specialty Pharmacy #15438 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALGREENS SPECIALTY PHARMACY #15438 (NPI 1417284845) is a healthcare organization registered as a specialty pharmacy in Canton, Michigan and active in the NPI registry since November 2009. The organization lists Jennifer L Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1417284845
Entity TypeOrganization
Primary Taxonomy3336S0011X
Legal Business NameWALGREENS SPECIALTY PHARMACY LLC
Location Address41460 HAGGERTY CIR SCanton, MI 48188-2227
Mailing Address500 Noblestown RdCarnegie, PA 15106-1230
Phone(888) 282-5166
Fax(734) 929-0342
Organization SubpartYesParent: Walgreen Co
Authorized OfficialJennifer L PonceManager · (847) 527-2489
Enumeration DateNovember 5, 2009
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1417284845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Specialty PharmacySuppliers
Taxonomy Code3336S0011X
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
41460 HAGGERTY CIR S, Canton, MI 48188
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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #15438

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Alliancerx Walgreens Pharmacy 15438 carries, from the Medicare DMEPOS supplier directory.

Alliancerx Walgreens Pharmacy 15438

DMEPOS supplier · Canton, MIOperated by Walgreens Specialty Pharmacy LLC
✔

Accepts Medicare assignment

Alliancerx Walgreens Pharmacy 15438 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20333201
Medicare Participant SinceJanuary 1, 2023
Supplier Location41460 Haggerty Cir SCanton, MI 48188
Phone(888) 282-5166
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZIED SHAMMOUT
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (734) 477-9848
DR. JONATHAN MCLACHLAN PHARMD
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (888) 282-5166
ALLYSON DROUIN PHARMD
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (888) 282-5166
BRIAN RANDALL
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (734) 477-9800
CANDICE MCKAY
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (888) 282-5166
DR. JONNELL WHITEKUS PHARMD, RPH
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (888) 282-5166
JENA TERRY YALDO
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (888) 282-5166
HANNA OMAR PHARMD
Pharmacist
41460 HAGGERTY CIR S
CANTON, MI 48188
Wayne County (888) 282-5166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walgreens Specialty Pharmacy LLC's NPI number?

The NPI number for Walgreens Specialty Pharmacy LLC is 1417284845. It was assigned to this organization in the NPPES registry on November 5, 2009. The provider is doing business as Walgreens Specialty Pharmacy #15438.

Where is Walgreens Specialty Pharmacy LLC located?

Walgreens Specialty Pharmacy LLC is located at 41460 Haggerty Cir S, Canton, MI 48188. The listed phone number is (888) 282-5166.

What is Walgreens Specialty Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Specialty Pharmacy, with taxonomy code 3336S0011X.

Does Walgreens Specialty Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Alliancerx Walgreens Pharmacy 15438 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Walgreens Specialty Pharmacy LLC was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.