WALGREENS #05413 – Pharmacy, NPI 1124033352

WALGREENS #05413 is a healthcare provider. based in Blaine, Minnesota. specializing in Pharmacy. The organization holds a License No. 261919 (MN). The NPI Number for WALGREENS #05413 is 1124033352

Main info

Organization
Name
WALGREENS #05413
NPI
1124033352
Phone
(763) 786-9081
Address
600 COUNTY ROAD 10 NE
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
26 April 2022
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

Provider Addresses for WALGREENS #05413

  • 600 COUNTY ROAD 10 NE

    BLAINE, MN 554342329

    Phone: (763) 786-9081

    Type: Location

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

    MAILSTOP #790

    DANVILLE, IL 618344509

    Phone: (217) 709-2351

    Fax: (217) 709-2344

    Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 count67472$0
90480Admn sarscov2 vacc 1 dose6767$0
91322Sarscov2 vac 50 mcg/0.5ml im6666$0
G0008Administration of influenza virus vaccine5252$0
90662Influenza vaccine split virus, preservative free2626$0
View full utilization report →

Insurance plans in this area (ZIP 55434)

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Reviews

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Frequently asked questions

What is WALGREENS #05413's NPI number?
WALGREENS #05413's NPI is 1124033352 — the number used across U.S. healthcare to identify this provider.
Would WALGREENS #05413 appear as active to a payer?
You can treat WALGREENS #05413 as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is WALGREENS #05413?
WALGREENS #05413 is associated with Pharmacy in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is WALGREENS #05413 registered?
Use Blaine, Minnesota as the headline location for WALGREENS #05413 here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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