WALGREENS #05683 – Pharmacy, NPI 1053327643

WALGREENS #05683 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 054.019104 (IL). The NPI Number for WALGREENS #05683 is 1053327643

Main info

Organization
Name
WALGREENS #05683
NPI
1053327643
Phone
(217) 709-2351
Address
1901 E VOORHEES ST
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
1 August 2006
Last Update Date
28 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 #05683

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

    MAILSTOP #790

    DANVILLE, IL 618344509

    Phone: (217) 709-2351

    Fax: (217) 709-2344

    Type: Mailing

  • Walgreens, 1403, Waukegan Road, Glenview, Northfield Township, Cook County, Illinois, 60025, United States

    GLENVIEW, IL 600252120

    Phone: (847) 998-1442

    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)

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
O20100930013412OPharmacyILTBD

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 count2,877299$0
91322Sarscov2 vac 50 mcg/0.5ml im1,2131,212$0
90480Admn sarscov2 vacc 1 dose1,2131,212$0
G0008Administration of influenza virus vaccine660660$0
90662Influenza vaccine split virus, preservative free516516$0
View full utilization report →

Insurance plans in this area (ZIP 61834)

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Reviews

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Frequently asked questions

What is the standard ID for WALGREENS #05683 in the U.S.?
In the U.S., WALGREENS #05683 is identified by NPI 1053327643.
Does the public listing show WALGREENS #05683 as active?
WALGREENS #05683's NPI record reflects an active status in NPPES.
What does the directory say WALGREENS #05683 does?
Insurance directories may phrase it differently, but here WALGREENS #05683 maps to Pharmacy. Clinical services aligned with this taxonomy classification.
Is WALGREENS #05683 tied to Danville, Illinois?
If you are local to Danville, Illinois, WALGREENS #05683 may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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