WALGREENS #05542 – Pharmacy, NPI 1487661468

WALGREENS #05542 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 54014692 (IL). The NPI Number for WALGREENS #05542 is 1487661468

Main info

Organization
Name
WALGREENS #05542
NPI
1487661468
Phone
(217) 709-2351
Address
1901 E VOORHEES ST
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
2 August 2006
Last Update Date
27 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 #05542

  • 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

  • Walgreens, 8001, North Milwaukee Avenue, Niles, Maine Township, Cook County, Illinois, 60714, United States

    NILES, IL 607142801

    Phone: (847) 583-0361

    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: 2026-06-15

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (107 days away).

Enrollment records

1

Earliest due date

2026-09-30

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
O20100930057825OPharmacyIL2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 count2,365270$0
91320Sarscv2 vac 30mcg trs-suc im341341$0
90480Admn sarscov2 vacc 1 dose341341$0
G0008Administration of influenza virus vaccine331331$0
90662Influenza vaccine split virus, preservative free261261$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 I look up WALGREENS #05542 by NPI?
Use NPI 1487661468 when you need to reference WALGREENS #05542 in forms, claims, or directories.
Is WALGREENS #05542's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does WALGREENS #05542 work in?
You can think of WALGREENS #05542 as practicing within Pharmacy. Clinical services aligned with this taxonomy classification.
Does WALGREENS #05542 practice in Illinois?
You will see Danville, Illinois on file for WALGREENS #05542 alongside any extra practice locations.
How can I contact WALGREENS #05542?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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