WALGREENS #03911 – Pharmacy, NPI 1770598716

WALGREENS #03911 is a healthcare provider. based in Plano, Texas. specializing in Pharmacy. The organization holds a License No. 17666 (TX). The NPI Number for WALGREENS #03911 is 1770598716

Main info

Organization
Name
WALGREENS #03911
NPI
1770598716
Phone
(972) 599-1901
Address
2001 CUSTER RD
Authorized Official
KIRA L TAYLOR MANAGER
Enumeration Date
29 July 2006
Last Update Date
20 February 2023
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 #03911

  • 2001, Custer Road, Plano, Collin County, Texas, 75075, United States

    PLANO, TX 750752913

    Phone: (972) 599-1901

    Fax: (972) 599-0307

    Type: Location

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

    MS 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.

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 2024-05-31 (743 days ago).

Enrollment records

1

Earliest due date

2024-05-31

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
O20100930076179OPharmacyTX2024-05-31

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 count91894$0
G0008Administration of influenza virus vaccine289289$0
91322Sarscov2 vac 50 mcg/0.5ml im252252$0
90480Admn sarscov2 vacc 1 dose252252$0
90662Influenza vaccine split virus, preservative free165165$0
View full utilization report →

Insurance plans in this area (ZIP 75075)

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Reviews

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Frequently asked questions

What federal number belongs to WALGREENS #03911?
The federal identifier for WALGREENS #03911 is NPI 1770598716.
Is WALGREENS #03911's NPI currently valid?
The extract we use shows WALGREENS #03911 as active.
What does WALGREENS #03911 treat or focus on?
Patients typically see WALGREENS #03911 under the specialty Pharmacy. Clinical services aligned with this taxonomy classification.
Where is WALGREENS #03911's primary listing?
We display Plano, Texas because that is what the record indicates for WALGREENS #03911.
Is WALGREENS #03911 a real provider?
This page reflects official NPPES data for NPI 1770598716. Always confirm identity and privileges with the practice and licensing boards.

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