Walgreens Specialty Pharmacy LLC
NPI 1417284845ActiveOrganization· Pharmacy, Specialty Pharmacy· Canton, MI
Pharmacy, Specialty Pharmacy in Canton, Michigan, registered in NPPES in November 2009, part of Walgreen Co. The authorized official on file is Jennifer L. Ponce, Manager.
Overview
| NPI | 1417284845 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Walgreen Co |
| NPI issued | Nov 5, 2009 |
| Last updated in NPPES | Oct 8, 2024 |
| Certified by provider | Oct 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Specialty Pharmacy Primary | 3336S0011X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Compounding Pharmacy | 3336C0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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