Active NPI
Nathan Bryce Cuizon, PHARMD, MSHI
- Pharmacist
- Peoria, IL
National Provider Identifier
1801758172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051306036
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61636-0001 - Phone
- (309) 672-5522
- NPI assigned
- Nov 25, 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 | 051306036 | IL | Primary |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Mailing address
9118 Wyndridge Way
Edwards, IL 61528-7521
Other practice location 1
2223 W Heading Ave
West Peoria, IL 61604-5139
Phone (309) 570-1800
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 |
|---|---|---|---|
| 051306036 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1801758172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9118 WYNDRIDGE WAY",
"city": "EDWARDS",
"state": "IL",
"postal_code": "615287521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616360001",
"telephone_number": "309-672-5522"
}
],
"practiceLocations": [
{
"address_1": "2223 W Heading Ave",
"address_purpose": "LOCATION",
"city": "West Peoria",
"state": "IL",
"postal_code": "616045139",
"country_code": "US",
"telephone_number": "309-570-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUIZON",
"first_name": "NATHAN BRYCE",
"name_prefix": "Dr.",
"credential": "PHARMD, MSHI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051306036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.