Walgreens #21314 – Pharmacy, NPI 1376568196
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Walgreens #21314
1812 MARSH RD STE 305
WILMINGTON, DE 198104532
Phone: (302) 529-8770
Fax: (302) 746-6446
Type: Location
1901, East Voorhees Street, Danville, Vermilion County, Illinois, 61832, United States
MS 790
DANVILLE, IL 618344509
Phone: (217) 709-2351
Fax: (217) 709-2344
Type: Mailing
Kid Shelleen's, 1812, Marsh Road, Mayfield, Westwood Manor, Wilmington, New Castle County, Delaware, 19810, United States
WILMINGTON, DE 198104581
Phone: (302) 475-4265
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (110 days away).
Enrollment records
1
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20110713000359 | O | Pharmacy | DE | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 1,610 | 172 | $0 |
| G0008 | Administration of influenza virus vaccine | 452 | 452 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 325 | 325 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 236 | 236 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 236 | 236 | $0 |
Insurance plans in this area (ZIP 19810)
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