WALGREENS #05246 – Pharmacy, NPI 1457366601

WALGREENS #05246 is a healthcare provider. based in Apopka, Florida. specializing in Pharmacy. The organization holds a License No. PH0017033 (FL). The NPI Number for WALGREENS #05246 is 1457366601

Main info

Organization
Name
WALGREENS #05246
NPI
1457366601
Phone
(407) 884-5548
Address
1490 ROCK SPRINGS RD
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
25 April 2022
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

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Provider Addresses for WALGREENS #05246

  • Walgreens, 1490, Rock Springs Road, Apopka, Orange County, Florida, 32712, United States

    APOPKA, FL 327122306

    Phone: (407) 884-5548

    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: 2010-09-30

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
O20100930025668OPharmacyFLTBD

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
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count88492$0
G0008Administration of influenza virus vaccine146146$0
90480Admn sarscov2 vacc 1 dose135135$0
91322Sarscov2 vac 50 mcg/0.5ml im130130$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage9090$0
View full utilization report →

Insurance plans in this area (ZIP 32712)

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Reviews

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Frequently asked questions

Can I verify WALGREENS #05246 with an NPI only?
You can start verification with NPI 1457366601 for WALGREENS #05246, then check state licensing separately.
Does CMS list WALGREENS #05246 as active?
Yes — WALGREENS #05246 is active in the NPI listing used on this page.
What is WALGREENS #05246's specialty?
The listing groups WALGREENS #05246 with Pharmacy. Clinical services aligned with this taxonomy classification.
Where is WALGREENS #05246 based?
WALGREENS #05246 is tied to Apopka, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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