Active NPI
Landon Conrad, PHARM.D.
- Pharmacist
- Springfield, IL
National Provider Identifier
1760925697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051299535
- Practice address
- 4200 Conestoga Dr
Springfield, IL 62711-7934 - Phone
- (217) 547-2410
- NPI assigned
- Nov 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 051299535 | IL | Primary |
Addresses
Primary practice location
4200 Conestoga Dr
Springfield, IL 62711-7934
Mailing address
4102 Amy CT
Springfield, IL 62711-5709
Phone (217) 801-6617
Other practice location 1
4700 N Hanley Rd Ste A
Saint Louis, MO 63134-2700
Phone (800) 332-5455
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 |
|---|---|---|---|
| 051299535 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Scripts Specialty Distribution Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialty Pharmacy
- St. Louis, MO
- NPI 1083029540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1760925697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4102 AMY CT",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627115709",
"telephone_number": "217-801-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 CONESTOGA DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627117934",
"telephone_number": "217-547-2410"
}
],
"practiceLocations": [
{
"address_1": "4700 N Hanley Rd Ste A",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631342700",
"country_code": "US",
"telephone_number": "800-332-5455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONRAD",
"first_name": "LANDON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-25",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051299535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.