WALGREENS #06528 – Pharmacy, NPI 1376559757

WALGREENS #06528 is a healthcare provider. based in Clermont, Florida. specializing in Pharmacy. The organization holds a License No. PH018159 (FL). The NPI Number for WALGREENS #06528 is 1376559757

Main info

Organization
Name
WALGREENS #06528
NPI
1376559757
Phone
(352) 394-8029
Address
4400 S HWY 27
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
31 July 2006
Last Update Date
24 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 #06528

  • 4400 S HWY 27

    CLERMONT, FL 347115383

    Phone: (352) 394-8029

    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 2026-03-31 (73 days ago).

Enrollment records

1

Earliest due date

2026-03-31

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
O20100930051142OPharmacyFL2026-03-31

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 count1,624170$0
G0008Administration of influenza virus vaccine361361$0
90480Admn sarscov2 vacc 1 dose273273$0
91320Sarscv2 vac 30mcg trs-suc im271271$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage207207$0
View full utilization report →

Insurance plans in this area (ZIP 34711)

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Reviews

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Frequently asked questions

Can I cross-check WALGREENS #06528 using NPI 1376559757?
NPI 1376559757 belongs to WALGREENS #06528; compare other details if you need extra assurance.
Would WALGREENS #06528 appear as active to a payer?
You can treat WALGREENS #06528 as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to WALGREENS #06528?
WALGREENS #06528's specialty line reads Pharmacy. Clinical services aligned with this taxonomy classification.
Is WALGREENS #06528 associated with Clermont?
Public fields place WALGREENS #06528 around Clermont, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for WALGREENS #06528 is noted as July 31, 2006 where the registry provides it.

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