WALGREENS #03940 – Pharmacy, NPI 1881609055

WALGREENS #03940 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 54013811 (IL). The NPI Number for WALGREENS #03940 is 1881609055

Main info

Organization
Name
WALGREENS #03940
NPI
1881609055
Phone
(847) 527-2489
Address
1901 E VOORHEES ST
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
1 October 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 #03940

  • 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

  • 375, East Dundee Road, Pepper Tree, Palatine, Palatine Township, Cook County, Illinois, 60074, United States

    PALATINE, IL 600742812

    Phone: (847) 934-5741

    Fax: (847) 934-5952

    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: 2017-01-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-10-31 (222 days ago).

Enrollment records

1

Earliest due date

2025-10-31

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
O20170131002145OPharmacyIL2025-10-31

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.

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

Does WALGREENS #03940 share an NPI with anyone else?
NPI numbers are unique to each provider or organization — WALGREENS #03940 uses 1881609055.
Can I rely on WALGREENS #03940 being an active provider?
As of the registry snapshot, WALGREENS #03940 is marked active.
What taxonomy line describes WALGREENS #03940?
For research purposes, treat WALGREENS #03940 as Pharmacy in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for WALGREENS #03940?
WALGREENS #03940's geographic hint is Danville, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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