Princeville Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054014436 Issued in IL

Legal business name

PRINCEVILLE PHARMACY LLC

Doing business as

Princeville Pharmacy

Practice address

206 E Main St
Princeville, IL 61559-7516

Phone

(309) 385-4955

Fax

(309) 385-1561

NPI assigned

Nov 20, 2006

Last updated

Feb 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin FryeNPI 1598355877

Title

Owner/President

Phone

(309) 446-3292

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PRINCEVILLE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sherman's Pharmacy Co.

  dba Shermans Pharmacy

  • Community/Retail Pharmacy
  • Brimfield, IL
  • NPI 1568527679

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Frye, PHARM D.

  • Pharmacist
  • Princeville, IL
  • NPI 1598355877
  NPD Authorized official
• Curtis Bruce Sherman, RPH

  • Pharmacist
  • Brimfield, IL
  • NPI 1598975005
  NPD
• Kody Frye, PHARM.D

  • Pharmacist
  • Princeville, IL
  • NPI 1265320063
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771718400000",
    "number": "1750455127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 566",
            "city": "PRINCEVILLE",
            "state": "IL",
            "postal_code": "615590566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E MAIN ST",
            "city": "PRINCEVILLE",
            "state": "IL",
            "postal_code": "615597516",
            "telephone_number": "309-385-4955",
            "fax_number": "309-385-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCEVILLE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "309-446-3292"
    },
    "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": "054014436",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1426471",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINCEVILLE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Martin, F.N.P.
• Methodist Medical Center of Illinois (Carle Health Princeville)
• Methodist Medical Center of Illinois (Methodist Medical Group at Princeville)
• Robert Joseph Peters, LCSW
• Princeville Cu SCH Dist 326
• Proctor Health Systems (Carle Health Princeville)
• Monica Martha Pulley
• Victoria Schick
• Joshua Schupbach, MD
• Seeded Health PLLC

• Community/Retail Pharmacy in Princeville, IL
• Providers in Princeville, 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 Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.