WALGREENS #04568 – Pharmacy, NPI 1437166410

WALGREENS #04568 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. PH0007915 (FL). The NPI Number for WALGREENS #04568 is 1437166410

Main info

Organization
Name
WALGREENS #04568
NPI
1437166410
Phone
(847) 527-2489
Address
1901 E VOORHEES ST # MS 790
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
2 August 2006
Last Update Date
22 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for WALGREENS #04568

  • 1901 E VOORHEES ST # MS 790

    DANVILLE, IL 618344515

    Phone: (847) 527-2489

    Fax: (217) 709-2344

    Type: Mailing

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

    MS 720

    DANVILLE, IL 618344509

    Phone: (217) 709-2386

    Fax: (217) 709-2344

    Type: Mailing

  • Walgreens, 10881, West Oakland Park Boulevard, Sunrise, Broward County, Florida, 33351, United States

    SUNRISE, FL 333516813

    Phone: (954) 748-5000

    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 2025-11-30 (192 days ago).

Enrollment records

1

Earliest due date

2025-11-30

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
O20100930034024OPharmacyFL2025-11-30

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 count2,894304$0
G0008Administration of influenza virus vaccine132132$0
91320Sarscv2 vac 30mcg trs-suc im106106$0
90480Admn sarscov2 vacc 1 dose106106$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage7373$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 is WALGREENS #04568 identified in CMS data?
CMS-hosted NPPES data lists WALGREENS #04568 with NPI 1437166410.
Does the file indicate WALGREENS #04568 is practicing under active NPI?
Directory data currently reports WALGREENS #04568 as active.
What taxonomy line describes WALGREENS #04568?
For research purposes, treat WALGREENS #04568 as Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect WALGREENS #04568 on a map?
Expect Danville, Illinois as a primary anchor for WALGREENS #04568 unless the record lists multiple sites.
Why does WALGREENS #04568 have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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