Active NPI
Tate Eller, PHARMD
- Pharmacist
- Bloomington, IL
National Provider Identifier
1730049131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.306786
- Practice address
- 1210 Towanda Ave Ste 11
Bloomington, IL 61701-7415 - Phone
- (309) 828-6767
- Fax
- (309) 828-6970
- NPI assigned
- Nov 17, 2025
- Last updated
- Nov 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.306786 | IL | Primary |
Addresses
Primary practice location
1210 Towanda Ave Ste 11
Bloomington, IL 61701-7415
Mailing address
1210 Towanda Ave Ste 11
Bloomington, IL 61701-7415
Phone (309) 828-6767
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.306786 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roanoke RX LLC | Current | Accepting new patients | |
| Axline's Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763337600000",
"number": "1730049131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 TOWANDA AVE STE 11",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617017415",
"telephone_number": "309-828-6767",
"fax_number": "309-828-6970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 TOWANDA AVE STE 11",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617017415",
"telephone_number": "309-828-6767",
"fax_number": "309-828-6970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "TATE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-17",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.306786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.