Individual provider Active NPI

Landon Conrad, PHARM.D.

  • Pharmacist
  • Springfield, IL
National Provider Identifier
1760925697
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051299535 Issued in IL
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

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
051299535ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Scripts Specialty Distribution Services, Inc. PastSince Jul 16, 2023 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.

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.

Verify at the official NPI Registry.