WALGREENS #04493 – Pharmacy, NPI 1295740256

WALGREENS #04493 is a healthcare provider. based in The woodlands, Texas. specializing in Pharmacy. The organization holds a License No. 18897 (TX). The NPI Number for WALGREENS #04493 is 1295740256

Main info

Organization
Name
WALGREENS #04493
NPI
1295740256
Phone
(281) 292-3861
Address
8000 RESEARCH FOREST DR STE 100
Authorized Official
JENNIFER PONCE MANAGER
Enumeration Date
29 July 2006
Last Update Date
21 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 #04493

  • Research Forest Drive, The Woodlands, Montgomery County, Texas, 77382, United States

    THE WOODLANDS, TX 773821506

    Phone: (281) 292-3861

    Fax: (281) 292-7714

    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 (163 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
O20100930025829OPharmacyTX2025-12-31

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 count46796$0
G0008Administration of influenza virus vaccine220220$0
91320Sarscv2 vac 30mcg trs-suc im163162$0
90480Admn sarscov2 vacc 1 dose163162$0
90662Influenza vaccine split virus, preservative free109109$0
View full utilization report →

Insurance plans in this area (ZIP 77382)

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Reviews

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Frequently asked questions

Can I cross-check WALGREENS #04493 using NPI 1295740256?
NPI 1295740256 belongs to WALGREENS #04493; compare other details if you need extra assurance.
Is WALGREENS #04493 still an active registrant?
WALGREENS #04493 carries an active NPI according to the public dataset.
What clinical focus is listed for WALGREENS #04493?
At a glance, WALGREENS #04493 is tied to Pharmacy. Clinical services aligned with this taxonomy classification.
Is WALGREENS #04493 located near The Woodlands?
WALGREENS #04493 currently maps to The Woodlands, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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