WALGREENS #10195 – Pharmacy, NPI 1811902802

WALGREENS #10195 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. CF58560 (WA). The NPI Number for WALGREENS #10195 is 1811902802

Main info

Organization
Name
WALGREENS #10195
NPI
1811902802
Phone
(847) 527-2489
Address
1901 E VOORHEES ST # MS 790
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
5 August 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 #10195

  • 1901 E VOORHEES ST # MS 790

    DANVILLE, IL 618344515

    Phone: (847) 527-2489

    Fax: (217) 709-2344

    Type: Mailing

  • 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

  • West Clearwater Avenue, Kennewick, Benton County, Washington, 99336, United States

    KENNEWICK, WA 993362945

    Phone: (509) 783-5412

    Fax: (509) 783-5479

    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 2025-08-31 (283 days ago).

Enrollment records

1

Earliest due date

2025-08-31

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
O20100930008469OPharmacyWA2025-08-31

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
G0008Administration of influenza virus vaccine462460$0
91322Sarscov2 vac 50 mcg/0.5ml im425425$0
90480Admn sarscov2 vacc 1 dose425425$0
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count27035$0
90662Influenza vaccine split virus, preservative free223223$0
View full utilization report →

Insurance plans in this area (ZIP 61834)

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Reviews

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Frequently asked questions

How do I look up WALGREENS #10195 by NPI?
Use NPI 1811902802 when you need to reference WALGREENS #10195 in forms, claims, or directories.
Is WALGREENS #10195's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is WALGREENS #10195?
The page reflects Pharmacy for WALGREENS #10195. Clinical services aligned with this taxonomy classification.
What location metadata exists for WALGREENS #10195?
The page summarizes Danville, Illinois for WALGREENS #10195; expand the address list for detail.
Is WALGREENS #10195 a real provider?
This page reflects official NPPES data for NPI 1811902802. Always confirm identity and privileges with the practice and licensing boards.

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