WALGREENS #05558 – Pharmacy, NPI 1033124011

WALGREENS #05558 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 19915 (TX). The NPI Number for WALGREENS #05558 is 1033124011

Main info

Organization
Name
WALGREENS #05558
NPI
1033124011
Phone
(217) 709-2351
Address
1901 E VOORHEES ST
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
27 February 2023
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 #05558

  • 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

  • Walgreens, 1507, West Pleasant Run Road, Lancaster, Dallas County, Texas, 75146, United States

    LANCASTER, TX 751461213

    Phone: (972) 218-6446

    Fax: (972) 218-6893

    Type: Location

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 due soon

Earliest CMS due date is 2026-07-31 (51 days away).

Enrollment records

1

Earliest due date

2026-07-31

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
O20100930000750OPharmacyTX2026-07-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 count26630$0
90480Admn sarscov2 vacc 1 dose4040$0
91320Sarscv2 vac 30mcg trs-suc im4040$0
G0008Administration of influenza virus vaccine4040$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage2020$0
View full utilization report →

Insurance plans in this area (ZIP 61834)

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Reviews

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Frequently asked questions

Does WALGREENS #05558 have a public NPI I can cite?
Public records show WALGREENS #05558 under NPI 1033124011.
Is WALGREENS #05558's NPI status active today?
Active status means WALGREENS #05558's NPI record is not deactivated in the public file.
What services align with WALGREENS #05558's listing?
WALGREENS #05558's public classification highlights Pharmacy. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WALGREENS #05558?
WALGREENS #05558 is associated with Danville, Illinois in the same public data insurers reference.
Why is information missing for WALGREENS #05558?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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