Walgreens #18169 – Pharmacy, NPI 1649794934

Walgreens #18169 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The NPI Number for Walgreens #18169 is 1649794934

Main info

Organization
Name
Walgreens #18169
NPI
1649794934
Phone
(217) 709-2386
Address
1901 E VOORHEES ST # MS 790
Authorized Official
KIRA TAYLOR MANAGER
Enumeration Date
28 July 2017
Last Update Date
2 June 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness80
Years active:8State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Walgreens #18169

  • 1901 E VOORHEES ST # MS 790

    DANVILLE, IL 618344509

    Phone: (217) 709-2386

    Fax: (217) 709-2344

    Type: Mailing

  • 1901 E VOORHEES ST

    MS 790

    DANVILLE, IL 618344509

    Phone: (217) 709-2351

    Fax: (217) 709-2344

    Type: Mailing

  • 618;620, Main Street, Bemis, Watertown, Middlesex County, Massachusetts, 02452-6272, United States

    WATERTOWN, CT 067952614

    Phone: (860) 274-7559

    Fax: (860) 274-5875

    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: 2018-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (953 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
O20180131000695OPharmacyCT2023-10-31

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61834)

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Reviews

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Frequently asked questions

What is the registry number for Walgreens #18169?
The registry entry for Walgreens #18169 shows NPI 1649794934.
Should I treat Walgreens #18169 as an active provider?
Patients and plans typically see Walgreens #18169 as active in the national extract.
Which specialty label fits Walgreens #18169?
NPPES ties Walgreens #18169 to Pharmacy in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Walgreens #18169?
The directory associates Walgreens #18169 with Danville, Illinois. Check all listed addresses for suites or satellite offices.
Can I export Walgreens #18169's record?
You can download the official NPPES record; we summarize key fields for readability.

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