WALGREENS #06510 – Pharmacy, NPI 1184639189

WALGREENS #06510 is a healthcare provider. based in Spring, Texas. specializing in Pharmacy. The organization holds a License No. 10739 (TX). The NPI Number for WALGREENS #06510 is 1184639189

Main info

Organization
Name
WALGREENS #06510
NPI
1184639189
Phone
(281) 350-1500
Address
19710 HOLZWARTH RD
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
24 November 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 #06510

  • 19710, Holzwarth Road, Louetta Glen, Spring, Harris County, Texas, 77388, United States

    SPRING, TX 773886215

    Phone: (281) 350-1500

    Fax: (281) 350-8199

    Type: Location

  • 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

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 2025-12-31 (164 days ago).

Enrollment records

1

Earliest due date

2025-12-31

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
O20100930071571OPharmacyTX2025-12-31

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
K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count1,006115$0
G0008Administration of influenza virus vaccine131129$0
90662Influenza vaccine split virus, preservative free7877$0
91322Sarscov2 vac 50 mcg/0.5ml im7373$0
90480Admn sarscov2 vacc 1 dose7373$0
View full utilization report →

Insurance plans in this area (ZIP 77388)

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Reviews

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Frequently asked questions

Can I cross-check WALGREENS #06510 using NPI 1184639189?
NPI 1184639189 belongs to WALGREENS #06510; compare other details if you need extra assurance.
Is WALGREENS #06510 still an active registrant?
WALGREENS #06510 carries an active NPI according to the public dataset.
What clinical focus is listed for WALGREENS #06510?
At a glance, WALGREENS #06510 is tied to Pharmacy. Clinical services aligned with this taxonomy classification.
Is WALGREENS #06510 associated with Spring?
Public fields place WALGREENS #06510 around Spring, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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