Walgreen Specialty Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

WALGREEN SPECIALTY PHARMACY LLC

Doing business as

Walgreen Specialty Pharmacy #12201

Practice address

1143 Highland Dr
Suite D
Ann Arbor, MI 48108-2237

Phone

(888) 282-5166

NPI assigned

Nov 11, 2010

Last updated

Jan 20, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

WALGREEN COAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kermit R Crawford

Title

Sr Corporate Vice President

Phone

(847) 914-3154

Specialties & licenses 2

Addresses

Other names 1

• WALGREEN SPECIALTY PHARMACY #12201 Doing business as

Part of

Walgreens 01920

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1225339971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 790",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "217-709-2386",
            "fax_number": "217-709-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 HIGHLAND DR",
            "address_2": "SUITE D",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082237",
            "telephone_number": "888-282-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEN SPECIALTY PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALGREEN CO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KERMIT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SR CORPORATE VICE PRESIDENT",
        "authorized_official_telephone_number": "847-914-3154",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALGREEN SPECIALTY PHARMACY #12201",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabatha Walford, LLPC
• Walgreen Co (Walgreens #05842)
• Walgreen Co (Walgreens # 11197)
• Walgreen Co (Walgreens Specialty Pharmacy #21156)
• Walgreen Co (Walgreens #15650)
• Walgreens Specialty Pharmacy, LLC (Walgreens Specialty Pharmacy #12201)
• Kristina Sinacori Walick, MD
• Akbar Karim Waljee, M.D.
• Jennifer Filip Waljee, MD
• Hosea Walker Jr III, L.M.T

• Pharmacy in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.