ALLIANCERX WALGREENS PRIME #12314
NPI 1669668752
Pharmacy in Beaverton, OR
NPI Status: Active since September 21, 2007
Contact Information
9775 SW GEMINI DR
STE 1
BEAVERTON, OR
ZIP 97008
Phone: (866) 202-4014
- Organization
- Pharmacy
- Accepts Insurance
About ALLIANCERX WALGREENS PRIME #12314
This page provides the complete NPI Profile along with additional information for Alliancerx Walgreens Prime #12314, a provider established in Beaverton, Oregon operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1669668752 assigned on September 2007. The practitioner's primary taxonomy code is 333600000X with license number RP-0002419 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Alliancerx Walgreens Prime #12314. The authorized official of this NPI record is Kira Taylor (Manager)
- NPI
- 1669668752
- Provider Legal Name
- WALGREENS SPECIALTY PHARMACY LLC
- Other Organization Name
- ALLIANCERX WALGREENS PRIME #12314
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9775 SW GEMINI DR STE 1 BEAVERTON, OR 97008
- Location Phone
- (866) 202-4014
- Mailing Address
- 1901 E VOORHEES ST MS 790 DANVILLE, IL 61834
- Mailing Phone
- (217) 709-2386
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-21-2007
- Last Update Date
- 05-11-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- RP-0002419
- License State
- OR
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 3336H0001X | Suppliers | Pharmacy | |
| 2 | 3336S0011X | Suppliers | Pharmacy |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Focus Bronze POS? 205 - POS
- Blue Focus Bronze POS? 705 - POS
- Blue Focus Bronze POS? Standard - POS
- Blue Focus Gold POS? 207 - POS
- Blue Focus Gold POS? 902 - POS
- Blue Focus Gold POS? Standard - POS
- Blue Focus Silver POS? 206 - POS
- Blue Focus Silver POS? 903 - POS
- Blue Focus Silver POS? Standard - POS
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Select by Medica Bronze $0 Copay PCP Visits - EPO
- Select by Medica Bronze Share - EPO
- Select by Medica Expanded Bronze Standard - EPO
- Select by Medica Gold $0 Copay PCP Visits - EPO
- Select by Medica Gold Share - EPO
- Select by Medica Gold Standard - EPO
- Select by Medica Silver $0 Copay PCP Visits - EPO
- Select by Medica Silver Share - EPO
- Select by Medica Silver Standard - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
- Gold 2300 Legacy - EPO
- Regence Standard Bronze Plan Legacy - EPO
- Regence Standard Gold Plan Legacy - EPO
- Regence Standard Silver Plan Legacy - EPO
- Silver 6500 Legacy - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1669668752 | MEDICAID (05) | ID | |
| 320618 | MEDICAID (05) | AZ | |
| 3842944 | OTHER (01) | NCPDP | |
| 0216467 | MEDICAID (05) | OH | |
| 1669668752 | MEDICAID (05) | UT | |
| 1669668752 | MEDICAID (05) | MT | |
| 1669668752 | MEDICAID (05) | IA | |
| 3842944 | MEDICAID (05) | TN | |
| 1092434 | MEDICAID (05) | WA | |
| 1669668752 | MEDICAID (05) | VA | |
| 200135400A | MEDICAID (05) | OK | |
| 37104811 | MEDICAID (05) | NM | |
| 44039751 | MEDICAID (05) | CO | |
| 457263 | MEDICAID (05) | ND | |
| 1028445 | MEDICAID (05) | AK | |
| 200923000A | MEDICAID (05) | IN | |
| 278926 | MEDICAID (05) | OR | |
| 554205700 | MEDICAID (05) | MD | |
| 1669668752 | MEDICAID (05) | MI | |
| 1021135430001 | MEDICAID (05) | PA | |
| 1669668752 | MEDICAID (05) | MN | |
| 7100277090 | MEDICAID (05) | KY | |
| 200333400E | MEDICAID (05) | KS | |
| 7R2419 | MEDICAID (05) | SC | |
| 685274-01 | MEDICAID (05) | HI |
Reviews for ALLIANCERX WALGREENS PRIME #12314
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1669668752, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
BEAVERTON, OR 97008
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669668752, enumerated as an "organization" on September 21, 2007.
The provider is located at 9775 SW GEMINI DR STE 1 BEAVERTON, OR 97008 and the phone number is (866) 202-4014.
Pharmacy with taxonomy code 333600000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.
