WALGREENS #04355 – Pharmacy, NPI 1447265582

WALGREENS #04355 is a healthcare provider. based in Palatine, Illinois. specializing in Pharmacy. The organization holds a License No. 54004833 (IL). The NPI Number for WALGREENS #04355 is 1447265582

Main info

Organization
Name
WALGREENS #04355
NPI
1447265582
Phone
(847) 359-3624
Address
12 N NORTHWEST HWY
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
1 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 #04355

  • East Northwest Highway, Palatine, Palatine Township, Cook County, Illinois, 60008, United States

    PALATINE, IL 600675323

    Phone: (847) 359-3624

    Fax: (847) 358-0996

    Type: Location

  • 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

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 (51 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
O20100930051086OPharmacyIL2026-07-31

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 count1,916189$0
91320Sarscv2 vac 30mcg trs-suc im429429$0
90480Admn sarscov2 vacc 1 dose429429$0
G0008Administration of influenza virus vaccine397393$0
90662Influenza vaccine split virus, preservative free237236$0
View full utilization report →

Insurance plans in this area (ZIP 60067)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for WALGREENS #04355?
WALGREENS #04355 — NPI 1447265582 — is the standard way to identify this listing.
Can I rely on WALGREENS #04355 being an active provider?
As of the registry snapshot, WALGREENS #04355 is marked active.
What is WALGREENS #04355 best known for clinically?
Directory data describes WALGREENS #04355 with Pharmacy. Clinical services aligned with this taxonomy classification.
What address line appears for WALGREENS #04355?
WALGREENS #04355's geographic hint is Palatine, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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