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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Walgreens Specialty Pharmacy LLC

Pharmacy in Canton, MI · enumerated 2006 · authorized official Jennifer Ponce, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1942303110

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Walgreens Specialty Pharmacy LLC
Other name <Unavail>
Parent organization Walgreens Boots Alliance Inc
Practice address 41460 Haggerty Cir S, Canton, MI, 48188
Phone (888) 282-5166
Fax (888) 570-4700
Enumeration date Sep 6, 2006
Last updated in NPPES Sep 2, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers · License 5301007754 (MI) Primary
3336H0001X Home Infusion Therapy Pharmacy Suppliers Secondary
3336S0011X Specialty Pharmacy Suppliers · License 5301007754 (MI) Secondary

Authorized official

Name Jennifer Ponce
Title Manager
Phone (847) 527-2489

Other identifiers

Identifier Type State Issuer
1023139 Medicaid VT -
1942303110 Medicaid MO -
9000182454 Medicaid CO -
003788101 Medicaid NV -
1942303110 Medicaid ID -
19638280007 Medicaid PA -
118687600 Medicaid WY -
2348046 Medicaid TN -
0213639 Medicaid MT -
0216482 Medicaid OH -
200333400D Medicaid KS -
2348046 Other - NCPDP
1942303110 Medicaid IA -
1942303110 Medicaid MI -
1942303110 Medicaid UT -
551206900 Medicaid MD -
100066062 Medicaid WI -
1942303110 Medicaid MN -
2008032 Medicaid WA -
201052500A Medicaid IN -

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.

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Frequently asked questions

Where is Walgreens Specialty Pharmacy LLC located?
The practice location on file with NPPES is in Canton, MI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-02. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-02.