Walgreens Specialty Pharmacy LLC
Walgreens Specialty Pharmacy LLC is a healthcare organization registered as Specialty Pharmacy in Canton, MI, holding Type 2 (organization) NPI 1417284845 since 2009. The authorized official on file is Jennifer Ponce, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1417284845 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreens Specialty Pharmacy LLC |
| Other name | <Unavail> |
| Parent organization | Walgreen Co |
| Practice address | 41460 HAGGERTY CIR S, Canton, MI, 48188 |
| Phone | 8882825166 |
| Fax | 7349290342 |
| Enumeration date | 2009-11-05 |
| Last updated in NPPES | 2024-10-08 |
Authorized official
| Name | Jennifer Ponce |
|---|---|
| Title | Manager |
| Phone | 8475272489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Primary | — | — |
Copy-ready billing details
Provider: Walgreens Specialty Pharmacy LLC NPI: 1417284845 Taxonomy: 3336S0011X (Specialty Pharmacy) Address: 41460 HAGGERTY CIR S, Canton, MI, 48188
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942303110 | Walgreens Specialty Pharmacy LLC | Organization | Pharmacy | Canton, MI |
| 1760657621 | Gary Lupini | Individual | Pharmacist | Canton, MI |
| 1528224623 | Walgreens Specialty Pharmacy, LLC | Organization | Pharmacy | Canton, MI |
| 1255614426 | Michael Copi | Individual | Pharmacist | Canton, MI |
| 1043567498 | Jonathan Mclachlan | Individual | Pharmacist | Canton, MI |
| 1801208293 | Matthew Kroczaleski | Individual | Pharmacist | Canton, MI |
| 1083026454 | Jonnell Whitekus | Individual | Pharmacist | Canton, MI |
| 1679985063 | Kristine Barton | Individual | Pharmacist | Canton, MI |
Verify this record
Cross-check NPI 1417284845 against the authoritative CMS record: view Walgreens Specialty Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Walgreens Specialty Pharmacy LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-08.