WALGREENS SPECIALTY PHARMACY LLC
NPI 1942303110
Pharmacy in Canton, MI

Q: What is Walgreens Specialty Pharmacy LLC's NPI number?

The NPI number for Walgreens Specialty Pharmacy LLC is 1942303110. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Walgreens Specialty Pharmacy #15438.

Q: What is Walgreens Specialty Pharmacy LLC's specialty?

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

Active since September 06, 2006

41460 HAGGERTY CIR S, CANTON, MI 48188(888) 282-5166(888) 570-4700 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 2, 2025, Dec 4, 2024, Oct 8, 2024 and 7 more (10 updates tracked since 2016).

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About Walgreens Specialty Pharmacy Llc NPPES

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

WALGREENS SPECIALTY PHARMACY LLC (NPI 1942303110), doing business as Walgreens Specialty Pharmacy #15438, is a healthcare organization registered as a pharmacy in Canton, Michigan and active in the NPI registry since September 2006. The organization lists Jennifer Ponce, Manager, as its authorized official.

NPPES Registry Identity

NPI1942303110

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameWALGREENS SPECIALTY PHARMACY LLC

Location Address41460 HAGGERTY CIR SCanton, MI 48188

Mailing Address1901 E Voorhees St, Ms #790Danville, IL 61834-4509 · (847) 527-2489 · Fax (217) 709-2344

Phone(888) 282-5166

Fax(888) 570-4700

Organization SubpartYesParent: Walgreens Boots Alliance Inc

Authorized OfficialJennifer PonceManager · (847) 527-2489

Enumeration DateSeptember 6, 2006

Last NPPES UpdateSeptember 2, 202510 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1942303110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in MI · 5301007754

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 5301007754 (MI)

41460 HAGGERTY CIR S, Canton, MI 48188

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Other Names 1

Doing Business AsWalgreens Specialty Pharmacy #15438

Other Identifiers 21

Medicaid1023139VT

Medicaid1942303110MO

Medicaid9000182454CO

Medicaid003788101NV

Medicaid1942303110ID

Medicaid19638280007PA

Medicaid118687600WY

Medicaid2348046TN

Medicaid0213639MT

Medicaid0216482OH

Medicaid200333400DKS

Other2348046Ncpdp

Medicaid1942303110IA

Medicaid1942303110MI

Medicaid1942303110UT

Medicaid551206900MD

Medicaid100066062WI

Medicaid1942303110MN

Medicaid2008032WA

Medicaid201052500AIN

Medicaid7100151430KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

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