NPIMap

Organization Active NPI

Solvera Healthcare Center Inc

  • Clinic Pharmacy
  • Galesburg, IL
National Provider Identifier
1609615210
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
Legal business name
SOLVERA HEALTHCARE CENTER INC
Doing business as
Solvera Pharmacy
Practice address
256 S Soangetaha Rd Ste 108
Galesburg, IL 61401-5596
Phone
(309) 233-2836
NPI assigned
May 22, 2024
Organization subpart
Yes
Parent organization
SOLVERA HEALTHCARE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Patrick Caplis
Title
Ceo
Phone
(309) 886-9172

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

256 S Soangetaha Rd Ste 108
Galesburg, IL 61401-5596

Mailing address

PO Box 9727
Peoria, IL 61612-9727
Phone (309) 886-9172

Other names 1

  • Solvera Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011003159 IL Part B Supplier - Pharmacy 4981007226 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Galesburg, IL; Peoria, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Solvera Healthcare Center3 organizations share this tax ID, including this one
Part of
Solvera Healthcare Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

256 S Soangetaha Rd
Galesburg, IL 61401
Phone (309) 233-2836

256 S Soangetaha Rd
Ste 107
Galesburg, IL 61401

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1609615210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9727",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616129727",
            "telephone_number": "309-886-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 S SOANGETAHA RD STE 108",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614015596",
            "telephone_number": "309-233-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLVERA HEALTHCARE CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLVERA HEALTHCARE CENTER INC",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "CAPLIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-886-9172"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solvera Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.