WALGREENS #05684 – Pharmacy, NPI 1700891843

WALGREENS #05684 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 54005147 (IL). The NPI Number for WALGREENS #05684 is 1700891843

Main info

Organization
Name
WALGREENS #05684
NPI
1700891843
Phone
(217) 709-2351
Address
1901 E VOORHEES ST
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
28 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 #05684

  • 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, 8800, West 95th Street, Hickory Hills, Palos Township, Cook County, Illinois, 60457, United States

    HICKORY HILLS, IL 604571616

    Phone: (708) 598-1222

    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 2023-07-31 (1046 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
O20100930023680OPharmacyIL2023-07-31

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.

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 count2,222230$0
G0008Administration of influenza virus vaccine341340$0
90480Admn sarscov2 vacc 1 dose338338$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage195195$0
91322Sarscov2 vac 50 mcg/0.5ml im187187$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 unique ID ties claims to WALGREENS #05684?
NPI 1700891843 is assigned to WALGREENS #05684 under the national enumeration system.
Is WALGREENS #05684 active in the national directory?
WALGREENS #05684's public NPI profile is in an active state.
What does WALGREENS #05684 treat or focus on?
Patients typically see WALGREENS #05684 under the specialty Pharmacy. Clinical services aligned with this taxonomy classification.
What location shows for WALGREENS #05684?
We surface Danville, Illinois for WALGREENS #05684 based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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