Organization
WALGREENS SPECIALTY PHARMACY LLC
Active
Parent organization
WALGREENS BOOTS ALLIANCE INC
Other names
Walgreens Gene & Cell Services #21574
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALGREENS BOOTS ALLIANCE INC
Authorized official
JENNIFER PONCE (MANAGER)
(847) 527-2489
Entity
Organization
Contact information
Practice address
140 ENTERPRISE DR, PITTSBURGH, PA 15275-1213
(800) 828-9194
(877) 403-4196
Mailing address
1901 E VOORHEES ST # MS 790, DANVILLE, IL 61834-4509
(217) 709-2494
(217) 709-2344
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001963828-0009
—
PA
05
—
0164722
—
OH
05
—
10026155501
—
NE
05
—
1183516
—
NJ
05
—
1619665585
—
IA
05
—
1619665585
—
ID
05
—
1619665585
—
ME
05
—
1619665585
—
MI
05
—
1619665585
—
MT
05
—
200094500
—
OK
05
—
2305246
—
WA
05
—
246334
—
AZ
05
—
30003888400006
—
KS
05
—
300093800
—
IN
05
—
30015021450005
—
VA
05
—
3148509
—
NH
05
—
347188407
—
AR
05
—
4333475
—
UT
05
—
554204901
—
MD
05
—
7101032800
—
KY
05
—
7Z1396
—
SC
05
—
9000241158
—
CO
Enumeration date
04/27/2023
Last updated
04/22/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us