Walgreens #11002 – Pharmacy, NPI 1417973017

Walgreens #11002 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. A3-0000817 (DE). The NPI Number for Walgreens #11002 is 1417973017

Main info

Organization
Name
Walgreens #11002
NPI
1417973017
Phone
(217) 709-2351
Address
1901 E VOORHEES ST
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
15 July 2006
Last Update Date
30 October 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 #11002

  • 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

  • Wilmington Sport & Spine, 1601, Concord Pike, McDaniel Heights, Talleyville, New Castle County, Delaware, 19803, United States

    WILMINGTON, DE 198031403

    Phone: (302) 478-4335

    Fax: (302) 478-8715

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 count2,070217$0
91320Sarscv2 vac 30mcg trs-suc im432432$0
90480Admn sarscov2 vacc 1 dose432432$0
G0008Administration of influenza virus vaccine360358$0
90662Influenza vaccine split virus, preservative free270270$0
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Insurance plans in this area (ZIP 61834)

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Reviews

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Frequently asked questions

Can I cross-check Walgreens #11002 using NPI 1417973017?
NPI 1417973017 belongs to Walgreens #11002; compare other details if you need extra assurance.
Would Walgreens #11002 appear as active to a payer?
You can treat Walgreens #11002 as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Walgreens #11002's focus?
For Walgreens #11002, the primary taxonomy reads as Pharmacy. Clinical services aligned with this taxonomy classification.
Is Walgreens #11002 located near Danville?
Walgreens #11002 currently maps to Danville, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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