WALGREENS #06940 – Pharmacy, NPI 1649287624

WALGREENS #06940 is a healthcare provider. based in Leesburg, Florida. specializing in Pharmacy. The organization holds a License No. PH000699 (FL). The NPI Number for WALGREENS #06940 is 1649287624

Main info

Organization
Name
WALGREENS #06940
NPI
1649287624
Phone
(352) 787-3506
Address
901 S 14TH ST
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
2 August 2006
Last Update Date
12 May 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 #06940

  • 901, South 14th Street, Leesburg, Lake County, Florida, 34748, United States

    LEESBURG, FL 347486615

    Phone: (352) 787-3506

    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)

Revalidation scheduled

Earliest CMS due date is 2026-10-31 (145 days away).

Enrollment records

1

Earliest due date

2026-10-31

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
O20100930096667OPharmacyFL2026-10-31

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.

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 count2,841328$0
G0008Administration of influenza virus vaccine283283$0
91320Sarscv2 vac 30mcg trs-suc im249249$0
90480Admn sarscov2 vacc 1 dose249249$0
90662Influenza vaccine split virus, preservative free139139$0
View full utilization report →

Insurance plans in this area (ZIP 34748)

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Reviews

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Frequently asked questions

What NPI should I save for WALGREENS #06940?
Save NPI 1649287624 if you need a stable reference for WALGREENS #06940.
Is WALGREENS #06940's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does WALGREENS #06940 work in?
You can think of WALGREENS #06940 as practicing within Pharmacy. Clinical services aligned with this taxonomy classification.
Does WALGREENS #06940 practice in Florida?
You will see Leesburg, Florida on file for WALGREENS #06940 alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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