WALGREENS #06588 – Pharmacy, NPI 1982619912

WALGREENS #06588 is a healthcare provider. based in Danville, Illinois. specializing in Pharmacy. The organization holds a License No. 21301200 (OH). The NPI Number for WALGREENS #06588 is 1982619912

Main info

Organization
Name
WALGREENS #06588
NPI
1982619912
Phone
(847) 527-2489
Address
1901 E VOORHEES ST
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
10 September 2024
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 #06588

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

    MAILSTOP #790

    DANVILLE, IL 618344509

    Phone: (847) 527-2489

    Fax: (217) 709-2344

    Type: Mailing

  • Walgreens, 32798, Walker Road, Avon Lake, Lorain County, Ohio, 44012, United States

    AVON LAKE, OH 440121443

    Phone: (440) 930-5873

    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 2024-09-30 (623 days ago).

Enrollment records

1

Earliest due date

2024-09-30

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
O20100930029200OPharmacyOH2024-09-30

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 count1,269132$0
G0008Administration of influenza virus vaccine417415$0
91320Sarscv2 vac 30mcg trs-suc im370370$0
90480Admn sarscov2 vacc 1 dose370370$0
90662Influenza vaccine split virus, preservative free233231$0
View full utilization report →

Insurance plans in this area (ZIP 61834)

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Reviews

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Frequently asked questions

Can I cross-check WALGREENS #06588 using NPI 1982619912?
NPI 1982619912 belongs to WALGREENS #06588; compare other details if you need extra assurance.
Active or inactive — what applies to WALGREENS #06588?
You should see WALGREENS #06588 as active in CMS-hosted NPPES data.
How would a patient describe WALGREENS #06588's focus?
For WALGREENS #06588, the primary taxonomy reads as Pharmacy. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WALGREENS #06588?
Travel planning: use Danville, Illinois as the reference point for WALGREENS #06588, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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