WALGREENS #03684 – Pharmacy, NPI 1558376590

WALGREENS #03684 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 201003452 (VA). The NPI Number for WALGREENS #03684 is 1558376590

Main info

Organization
Name
WALGREENS #03684
NPI
1558376590
Phone
(217) 709-2351
Address
1901 E VOORHEES ST
Authorized Official
KIRA TAYLOR MANAGER
Enumeration Date
29 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 #03684

  • 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

  • North Chesterfield Post Office, 3930, Meadowdale Boulevard, Meadowbrook, Chesterfield County, Virginia, 23234, United States

    NORTH CHESTERFIELD, VA 232345465

    Phone: (804) 271-5900

    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)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20100930038338OPharmacyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 count37642$0
G0008Administration of influenza virus vaccine259259$0
90480Admn sarscov2 vacc 1 dose194194$0
91320Sarscv2 vac 30mcg trs-suc im193193$0
90662Influenza vaccine split virus, preservative free135135$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 is the 10-digit NPI for WALGREENS #03684?
WALGREENS #03684 — NPI 1558376590 — is the standard way to identify this listing.
Can I rely on WALGREENS #03684 being an active provider?
As of the registry snapshot, WALGREENS #03684 is marked active.
What healthcare role does WALGREENS #03684 hold?
Scheduling teams often label WALGREENS #03684 under Pharmacy. Clinical services aligned with this taxonomy classification.
What area does WALGREENS #03684 serve?
WALGREENS #03684's listing highlights Danville, Illinois; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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