WALGREENS #04812 – Pharmacy, NPI 1982619144

WALGREENS #04812 is a healthcare provider. based in Palmetto, Florida. specializing in Pharmacy. The organization holds a License No. PH0017540 (FL). The NPI Number for WALGREENS #04812 is 1982619144

Main info

Organization
Name
WALGREENS #04812
NPI
1982619144
Phone
(941) 729-5250
Address
930 8TH AVE W
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
14 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 #04812

  • Walgreens, 930, 8th Avenue West, Palmetto, Manatee County, Florida, 34221, United States

    PALMETTO, FL 342214712

    Phone: (941) 729-5250

    Type: Location

  • 1901 E VOORHEES ST # MS 790

    DANVILLE, IL 618344509

    Phone: (217) 709-2351

    Fax: (217) 709-2344

    Type: Mailing

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

    MS790

    DANVILLE, IL 618344509

    Phone: (217) 709-2386

    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
O20100930063614OPharmacyFL2026-10-31

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 count1,827209$0
G0008Administration of influenza virus vaccine150149$0
91320Sarscv2 vac 30mcg trs-suc im9999$0
90480Admn sarscov2 vacc 1 dose9999$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage8888$0
View full utilization report →

Insurance plans in this area (ZIP 34221)

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Reviews

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Frequently asked questions

How do I look up WALGREENS #04812 by NPI?
Use NPI 1982619144 when you need to reference WALGREENS #04812 in forms, claims, or directories.
Is WALGREENS #04812's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize WALGREENS #04812's specialty in plain language?
Clinically, the directory lists WALGREENS #04812 with Pharmacy. Clinical services aligned with this taxonomy classification.
Where is WALGREENS #04812's primary listing?
We display Palmetto, Florida because that is what the record indicates for WALGREENS #04812.
Is WALGREENS #04812 a real provider?
This page reflects official NPPES data for NPI 1982619144. Always confirm identity and privileges with the practice and licensing boards.

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