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ALLIANCERX WALGREENS PRIME #12314
NPI 1669668752
Pharmacy in Beaverton, OR

Active since September 21, 2007
9775 SW GEMINI DR, STE 1, BEAVERTON, OR 97008(866) 202-4014 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2021, Dec 4, 2019, Aug 31, 2018 and 3 more (6 updates tracked since 2016).

About Alliancerx Walgreens Prime #12314 NPPES

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

ALLIANCERX WALGREENS PRIME #12314 (NPI 1669668752) is a healthcare organization registered as a pharmacy in Beaverton, Oregon and active in the NPI registry since September 2007. The organization lists Kira Taylor, Manager, as its authorized official.

NPPES Registry Identity

NPI1669668752
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameWALGREENS SPECIALTY PHARMACY LLC
Location Address9775 SW GEMINI DR, STE 1Beaverton, OR 97008
Mailing Address1901 E Voorhees St, Ms 790Danville, IL 61834-4509 · (217) 709-2386 · Fax (217) 709-2344
Phone(866) 202-4014
Organization SubpartYesParent: Walgreens Boots Alliance Inc
Authorized OfficialKira TaylorManager · (217) 709-2351
Enumeration DateSeptember 21, 2007
Last NPPES UpdateMay 11, 20216 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
✔ NPI 1669668752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in OR · RP-0002419
Definition
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.
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
9775 SW GEMINI DR, Beaverton, OR 97008
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Other Names 1

Doing Business AsAlliancerx Walgreens Prime #12314

Other Identifiers 25

Medicaid1669668752ID
Medicaid320618AZ
Other3842944Ncpdp
Medicaid0216467OH
Medicaid1669668752UT
Medicaid1669668752MT
Medicaid1669668752IA
Medicaid3842944TN
Medicaid1092434WA
Medicaid1669668752VA
Medicaid200135400AOK
Medicaid37104811NM
Medicaid44039751CO
Medicaid457263ND
Medicaid1028445AK
Medicaid200923000AIN
Medicaid278926OR
Medicaid554205700MD
Medicaid1669668752MI
Medicaid1021135430001PA
Medicaid1669668752MN
Medicaid7100277090KY
Medicaid200333400EKS
Medicaid7R2419SC
Medicaid685274-01HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

SHARON OKABAYASHI BRANHAM
Pharmacist
9775 SW GEMINI DR
BEAVERTON, OR 97008
Washington County (866) 202-4014
SANDRA SCOTT
Pharmacist
9775 SW GEMINI DR
BEAVERTON, OR 97008
Washington County (866) 202-4014
MR. BRAD CRAIG BOEHME
Pharmacist
9775 SW GEMINI DR, STE 1
BEAVERTON, OR 97008
Washington County (866) 202-4014
ALAN KANNING RPH
Pharmacist
9775 SW GEMINI DR
BEAVERTON, OR 97008
Washington County (866) 202-4015
MR. CLAY PARKEL RPH
Pharmacist
9775 SW GEMINI DR
BEAVERTON, OR 97008
Washington County (866) 202-4015
THERESA JAMES PHARMD
Pharmacist
9775 SW GEMINI DR, SUITE 1
BEAVERTON, OR 97008
Washington County (503) 520-6913
MRS. TRACY L FENTRESS R.PH.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9775 SW GEMINI DR
BEAVERTON, OR 97008
Washington County (888) 202-4014
ELIZABETH ASAI
Pharmacist
9775 SW GEMINI DR
BEAVERTON, OR 97008
Washington County (866) 202-4015

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 1669668752. It was assigned to this organization in the NPPES registry on September 21, 2007. The provider is doing business as Alliancerx Walgreens Prime #12314.

Where is Walgreens Specialty Pharmacy LLC located?

Walgreens Specialty Pharmacy LLC is located at 9775 SW Gemini Dr Ste 1, Beaverton, OR 97008. The listed phone number is (866) 202-4014.

What is Walgreens Specialty Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Walgreens Specialty Pharmacy LLC accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Walgreens Specialty Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Walgreens Specialty Pharmacy LLC was last updated on May 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.