WALGREENS #03926 – Pharmacy, NPI 1801802384

WALGREENS #03926 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 54013857 (IL). The NPI Number for WALGREENS #03926 is 1801802384

Main info

Organization
Name
WALGREENS #03926
NPI
1801802384
Phone
(847) 527-2489
Address
1901 E VOORHEES ST
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
1 August 2006
Last Update Date
8 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness90
Years active:19State licenses:1Digital endpoints

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Provider Addresses for WALGREENS #03926

  • 1901, East Voorhees Street, Danville, Vermilion County, Illinois, 61832, United States

    MS 790

    DANVILLE, IL 618344515

    Phone: (847) 527-2489

    Fax: (217) 709-2344

    Type: Mailing

  • Walgreens, 1825, Willow Road, Northfield, Northfield Township, Cook County, Illinois, 60093, United States

    NORTHFIELD, IL 600932925

    Phone: (847) 784-8032

    Fax: (847) 784-8037

    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: 2017-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (254 days ago).

Enrollment records

1

Earliest due date

2025-09-30

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
O20170217000643OPharmacyIL2025-09-30

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 federal number belongs to WALGREENS #03926?
The federal identifier for WALGREENS #03926 is NPI 1801802384.
Is WALGREENS #03926 currently active in the NPI registry?
CMS-published data lists WALGREENS #03926 as an active registrant.
What field does WALGREENS #03926 work in?
You can think of WALGREENS #03926 as practicing within Pharmacy. Clinical services aligned with this taxonomy classification.
Does WALGREENS #03926 practice in Illinois?
You will see Danville, Illinois on file for WALGREENS #03926 alongside any extra practice locations.
What if Danville, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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