ALLIANCERX WALGREENS PRIME #12314 – NPI #1669668752
Pharmacy
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.
ALLIANCERX WALGREENS PRIME #12314 is a pharmacy located in BEAVERTON, OR. NPPES has assigned the NPI number 1669668752 to ALLIANCERX WALGREENS PRIME #12314 on September 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALLIANCERX WALGREENS PRIME #12314” is a dba name, the actual legal business name for this organization is WALGREENS SPECIALTY PHARMACY LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 333600000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy.
The NPI profile was previously updated about 5 years ago on May 11, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLIANCERX WALGREENS PRIME #12314 below.
NPI Profile for
WALGREENS SPECIALTY PHARMACY LLC
(more than 18 years ago)
STE 1
BEAVERTON, OR 97008 Phone: (866) 202-4014 Fax:
MS 790
DANVILLE, IL 61834-4509 Phone: (217) 709-2386 Fax: (217) 709-2344
MANAGER
Phone: (217) 709-2351
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for ALLIANCERX WALGREENS PRIME #12314
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | NCPDP | 3842944 | |
| MEDICAID | AK | 1028445 | |
| MEDICAID | AZ | 320618 | |
| MEDICAID | CO | 44039751 | |
| MEDICAID | HI | 685274-01 | |
| MEDICAID | IA | 1669668752 | |
| MEDICAID | ID | 1669668752 | |
| MEDICAID | IN | 200923000A | |
| MEDICAID | KS | 200333400E | |
| MEDICAID | KY | 7100277090 | |
| MEDICAID | MD | 554205700 | |
| MEDICAID | MI | 1669668752 | |
| MEDICAID | MN | 1669668752 | |
| MEDICAID | MT | 1669668752 | |
| MEDICAID | ND | 457263 | |
| MEDICAID | NM | 37104811 | |
| MEDICAID | OH | 0216467 | |
| MEDICAID | OK | 200135400A | |
| MEDICAID | OR | 278926 | |
| MEDICAID | PA | 1021135430001 | |
| MEDICAID | SC | 7R2419 | |
| MEDICAID | TN | 3842944 | |
| MEDICAID | UT | 1669668752 | |
| MEDICAID | VA | 1669668752 | |
| MEDICAID | WA | 1092434 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 333600000X - Pharmacy (Primary) |
OR | RP-0002419 |
| 3336S0011X - Pharmacy / Specialty Pharmacy |
||
| 3336H0001X - Pharmacy / Home Infusion Therapy Pharmacy |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.