Walgreens #11049 – Pharmacy, NPI 1518987445

Walgreens #11049 is a healthcare provider. based in Wilmington, Delaware. specializing in Pharmacy. The organization holds a License No. A3-0000829 (DE). The NPI Number for Walgreens #11049 is 1518987445

Main info

Organization
Name
Walgreens #11049
NPI
1518987445
Phone
(302) 761-1700
Address
802 PHILADELPHIA PIKE
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
21 July 2006
Last Update Date
30 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Walgreens #11049

  • 802 PHILADELPHIA PIKE

    WILMINGTON, DE 198092357

    Phone: (302) 761-1700

    Fax: (302) 761-1706

    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

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: 2011-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20111109000353OPharmacyDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90480Admn sarscov2 vacc 1 dose1111$0
91320Sarscv2 vac 30mcg trs-suc im1111$0
View full utilization report →

Insurance plans in this area (ZIP 19809)

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Reviews

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Frequently asked questions

How is Walgreens #11049 identified in CMS data?
CMS-hosted NPPES data lists Walgreens #11049 with NPI 1518987445.
Is Walgreens #11049 listed as active for patients and plans?
The listing shows Walgreens #11049 as active in the NPI system.
What is Walgreens #11049's primary classification?
Pharmacy is the headline specialty for Walgreens #11049 here. Clinical services aligned with this taxonomy classification.
Where is Walgreens #11049 based?
Walgreens #11049 is tied to Wilmington, Delaware in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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