WALGREENS #04520 – Pharmacy, NPI 1215942230

WALGREENS #04520 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 21050850 (OH). The NPI Number for WALGREENS #04520 is 1215942230

Main info

Organization
Name
WALGREENS #04520
NPI
1215942230
Phone
(217) 709-2351
Address
1901 E VOORHEES ST
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
5 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 #04520

  • 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

  • 1260, East Central Avenue, Miamisburg, Montgomery County, Ohio, 45342, United States

    MIAMISBURG, OH 453423546

    Phone: (937) 859-3879

    Fax: (937) 859-4013

    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 (47 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
O20100930063648OPharmacyOH2026-07-31

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 count827100$0
G0008Administration of influenza virus vaccine242241$0
91320Sarscv2 vac 30mcg trs-suc im223223$0
90480Admn sarscov2 vacc 1 dose223223$0
90662Influenza vaccine split virus, preservative free188187$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 number should I use to identify WALGREENS #04520 for billing?
Administrative and clinical systems typically use NPI 1215942230 for WALGREENS #04520.
Quick check: is WALGREENS #04520 active?
Public NPPES data shows WALGREENS #04520 with an active NPI status right now.
How should patients interpret WALGREENS #04520's specialty?
The extract shows Pharmacy for WALGREENS #04520. Clinical services aligned with this taxonomy classification.
What geographic area is tied to WALGREENS #04520?
WALGREENS #04520 is associated with Danville, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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