WALGREENS #05810 – Pharmacy, NPI 1073528287

WALGREENS #05810 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 3168 (MA). The NPI Number for WALGREENS #05810 is 1073528287

Main info

Organization
Name
WALGREENS #05810
NPI
1073528287
Phone
(847) 527-2489
Address
1901 E VOORHEES ST
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
10 September 2024
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 #05810

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

    MAILSTOP #790

    DANVILLE, IL 618344509

    Phone: (847) 527-2489

    Fax: (217) 709-2344

    Type: Mailing

  • Walgreens, 14, Jackson Street, Methuen, Essex County, Massachusetts, 01844, United States

    METHUEN, MA 018445014

    Phone: (978) 681-0409

    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)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (621 days ago).

Enrollment records

1

Earliest due date

2024-09-30

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
O20100930070412OPharmacyMA2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 count48853$0
90480Admn sarscov2 vacc 1 dose172172$0
G0008Administration of influenza virus vaccine161161$0
91320Sarscv2 vac 30mcg trs-suc im159159$0
90662Influenza vaccine split virus, preservative free126126$0
View full utilization report →

Insurance plans in this area (ZIP 61834)

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Reviews

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Frequently asked questions

How do payers reference WALGREENS #05810?
For WALGREENS #05810, use NPI 1073528287 as the unique 10-digit identifier.
Would WALGREENS #05810 appear as active to a payer?
You can treat WALGREENS #05810 as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for WALGREENS #05810?
At a glance, WALGREENS #05810 is tied to Pharmacy. Clinical services aligned with this taxonomy classification.
Is WALGREENS #05810 located near Danville?
WALGREENS #05810 currently maps to Danville, Illinois in this extract.
Does WALGREENS #05810 accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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