WALGREENS #05946 – Pharmacy, NPI 1255346375

WALGREENS #05946 is a healthcare provider. based in Avon park, Florida. specializing in Pharmacy. The organization holds a License No. PH0009754 (FL). The NPI Number for WALGREENS #05946 is 1255346375

Main info

Organization
Name
WALGREENS #05946
NPI
1255346375
Phone
(863) 453-0222
Address
93 US HIGHWAY 27 S
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
30 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness90
Years active:19State licenses:1Digital endpoints

Provider Addresses for WALGREENS #05946

  • 93 US HIGHWAY 27 S

    AVON PARK, FL 338253334

    Phone: (863) 453-0222

    Type: Location

  • 1901, East Voorhees Street, Danville, Vermilion County, Illinois, 61832, United States

    MS 790

    DANVILLE, IL 618344515

    Phone: (847) 527-2489

    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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-04-30 (40 days ago).

Enrollment records

1

Earliest due date

2026-04-30

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
O20100930080636OPharmacyFL2026-04-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count964117$0
G0008Administration of influenza virus vaccine278275$0
91320Sarscv2 vac 30mcg trs-suc im169169$0
90480Admn sarscov2 vacc 1 dose169169$0
90662Influenza vaccine split virus, preservative free162162$0
View full utilization report →

Insurance plans in this area (ZIP 33825)

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Reviews

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Frequently asked questions

What number should I use to identify WALGREENS #05946 for billing?
Administrative and clinical systems typically use NPI 1255346375 for WALGREENS #05946.
Is WALGREENS #05946's NPI status active today?
Active status means WALGREENS #05946's NPI record is not deactivated in the public file.
How should patients interpret WALGREENS #05946's specialty?
The extract shows Pharmacy for WALGREENS #05946. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WALGREENS #05946?
WALGREENS #05946 is associated with Avon Park, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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