WALGREENS #09983 – Pharmacy, NPI 1881609014

WALGREENS #09983 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 054.019152 (IL). The NPI Number for WALGREENS #09983 is 1881609014

Main info

Organization
Name
WALGREENS #09983
NPI
1881609014
Phone
(847) 527-2489
Address
1901 E VOORHEES ST
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
11 February 2025
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 #09983

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

    MS 790

    DANVILLE, IL 618344509

    Phone: (847) 527-2489

    Fax: (217) 709-2344

    Type: Mailing

  • 1408, North Main Street, Cultural District, Bloomington, McLean County, Illinois, 61701, United States

    BLOOMINGTON, IL 617011762

    Phone: (309) 827-3069

    Fax: (309) 827-5881

    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 2023-09-30 (984 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
O20100930084341OPharmacyIL2023-09-30

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.

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 count34036$0
0124AAdm sarscv2 bvl 30mcg/.3ml a3131$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 is the 10-digit NPI for WALGREENS #09983?
WALGREENS #09983 — NPI 1881609014 — is the standard way to identify this listing.
Does CMS list WALGREENS #09983 as active?
Yes — WALGREENS #09983 is active in the NPI listing used on this page.
What is WALGREENS #09983's primary classification?
Pharmacy is the headline specialty for WALGREENS #09983 here. Clinical services aligned with this taxonomy classification.
What area does WALGREENS #09983 serve?
WALGREENS #09983's listing highlights Danville, Illinois; more addresses can appear in NPPES.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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