WALGREENS #12581 – Pharmacy, NPI 1720216328

WALGREENS #12581 is a healthcare provider. based in Anna, Illinois. specializing in Pharmacy. The organization holds a License No. 054016701 (IL). The NPI Number for WALGREENS #12581 is 1720216328

Main info

Organization
Name
WALGREENS #12581
NPI
1720216328
Phone
(618) 833-7236
Address
745 E VIENNA ST
Authorized Official
KIRA TAYLOR MANAGER
Enumeration Date
23 June 2009
Last Update Date
4 April 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness80
Years active:16State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for WALGREENS #12581

  • East Vienna Street, Anna, Union County, Illinois, 62906, United States

    ANNA, IL 629062041

    Phone: (618) 833-7236

    Fax: (618) 833-7316

    Type: Location

  • 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

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 scheduled

Earliest CMS due date is 2026-09-30 (112 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
O20100930023035OPharmacyIL2026-09-30

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 count50848$0
G0008Administration of influenza virus vaccine245244$0
91320Sarscv2 vac 30mcg trs-suc im211211$0
90480Admn sarscov2 vacc 1 dose211211$0
90662Influenza vaccine split virus, preservative free117117$0
View full utilization report →

Insurance plans in this area (ZIP 62906)

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Reviews

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Frequently asked questions

What is the registry number for WALGREENS #12581?
The registry entry for WALGREENS #12581 shows NPI 1720216328.
Should I treat WALGREENS #12581 as an active provider?
Patients and plans typically see WALGREENS #12581 as active in the national extract.
What does the directory say WALGREENS #12581 does?
Insurance directories may phrase it differently, but here WALGREENS #12581 maps to Pharmacy. Clinical services aligned with this taxonomy classification.
Can patients visit WALGREENS #12581 in Anna, Illinois?
For routing, start with Anna, Illinois for WALGREENS #12581, then verify phone and hours locally.
Why is information missing for WALGREENS #12581?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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