Individual provider Active NPI

Norma Linda Leal-Przyborowski, PHARMD

  • Pharmacist
  • Peoria, IL
National Provider Identifier
1598034506
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
51004 Issued in TX
Practice address
1919 W Pioneer Pkwy
Peoria, IL 61615-1854
Phone
(309) 692-0045
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051-295535 IL
Pharmacist 183500000X 051295535 IL
Pharmacist 183500000X 51004 TX Primary

Addresses

Primary practice location

1919 W Pioneer Pkwy
Peoria, IL 61615-1854

Mailing address

123 Rassi Ave
Morton, IL 61550-2129
Phone (708) 476-0922

Other practice location 1

123 Rassi Ave
Morton, IL 61550-2129
Phone (708) 476-0922

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Peoria Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051-295535ILMDPharmacist
051295535ILMDPharmacist
51004TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1598034506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 RASSI AVE",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502129",
            "telephone_number": "708-476-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W PIONEER PKWY",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151854",
            "telephone_number": "309-692-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Rassi Ave",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "615502129",
            "country_code": "US",
            "telephone_number": "708-476-0922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEAL-PRZYBOROWSKI",
        "first_name": "NORMA",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-295535",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051295535",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Peoria",
            "affiliation": "N",
            "endpointDescription": "Walgreens",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1919 W Pioneer Pkwy",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616151854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.