Barnato Pharmacy of Peoria LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054009143 Issued in IL

Legal business name

BARNATO PHARMACY OF PEORIA LLC

Practice address

5001 N Big Hollow Rd
Peoria, IL 61615-3538

Phone

(309) 689-9999

Fax

(309) 692-9033

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Barnato

Title

Owner Pharmacist

Phone

(309) 689-9999

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BARNATO PHARMACY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1548314990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 N BIG HOLLOW RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N BIG HOLLOW RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616153538",
            "telephone_number": "309-689-9999",
            "fax_number": "309-692-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNATO PHARMACY OF PEORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "BARNATO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "309-689-9999"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054009143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2019222",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371207012002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARNATO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samar S Barlota, LPC
• Carol Anne Barlow, PHARMD
• Mandy Barlow, APN
• Zoe Kenausis Barlow, PHARMD
• Tiffany Barnard
• Caroline Barnes, APP
• Nicole Taylor Barnes, AGPCNP-C
• Tamra L Barnes, CRNA
• James Barnett, MD
• Patty Barnett, PTA

• Community/Retail Pharmacy in Peoria, IL
• Providers in Peoria, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.