Walgreens Specialty Pharmacy LLC
Walgreens Specialty Pharmacy LLC is a healthcare organization registered as Pharmacy in Beaverton, OR, holding Type 2 (organization) NPI 1669668752 since 2007. The authorized official on file is Kira Taylor, Manager.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1669668752 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Walgreens Specialty Pharmacy LLC |
| Other name | <Unavail> |
| Parent organization | Walgreens Boots Alliance Inc |
| Practice address | 9775 SW GEMINI DR, STE 1, Beaverton, OR, 97008 |
| Phone | 8662024014 |
| Enumeration date | 2007-09-21 |
| Last updated in NPPES | 2021-05-11 |
Authorized official
| Name | Kira Taylor |
|---|---|
| Title | Manager |
| Phone | 2177092351 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336H0001X | Home Infusion Therapy Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Primary | RP-0002419 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669668752 | Medicaid | UT | — |
| 1669668752 | Medicaid | MI | — |
| 3842944 | Other | — | NCPDP |
| 3842944 | Medicaid | TN | — |
| 1028445 | Medicaid | AK | — |
| 1092434 | Medicaid | WA | — |
| 1669668752 | Medicaid | MT | — |
| 1669668752 | Medicaid | IA | — |
| 278926 | Medicaid | OR | — |
| 457263 | Medicaid | ND | — |
| 1669668752 | Medicaid | ID | — |
| 685274-01 | Medicaid | HI | — |
| 7100277090 | Medicaid | KY | — |
| 37104811 | Medicaid | NM | — |
| 554205700 | Medicaid | MD | — |
| 1669668752 | Medicaid | MN | — |
| 200135400A | Medicaid | OK | — |
| 320618 | Medicaid | AZ | — |
| 44039751 | Medicaid | CO | — |
| 1669668752 | Medicaid | VA | — |
Copy-ready billing details
Provider: Walgreens Specialty Pharmacy LLC NPI: 1669668752 Taxonomy: 333600000X (Pharmacy) Address: 9775 SW GEMINI DR, STE 1, Beaverton, OR, 97008
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1386897338 | Theresa James | Individual | Pharmacist | Beaverton, OR |
| 1477786788 | Tracy Fentress | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Beaverton, OR |
| 1346660990 | Clay Parkel | Individual | Pharmacist | Beaverton, OR |
| 1275953879 | Alan Kanning | Individual | Pharmacist | Beaverton, OR |
| 1235559881 | Brad Boehme | Individual | Pharmacist | Beaverton, OR |
| 1538589809 | Elizabeth Asai | Individual | Pharmacist | Beaverton, OR |
| 1164842597 | Sandra Scott | Individual | Pharmacist | Beaverton, OR |
| 1053721084 | Sharon Branham | Individual | Pharmacist | Beaverton, OR |
Verify this record
Cross-check NPI 1669668752 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
Where is Walgreens Specialty Pharmacy LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-11.