Peoria County Drugs, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PEORIA COUNTY DRUGS, INC

Practice address

8600 N State Route 91
Suite 100
Peoria, IL 61615-9541

Phone

(309) 691-9800

Fax

(309) 691-3305

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wayne R Beekman, RPH

Title

Owner Pharmacist

Phone

(309) 691-9800

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Medicap Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel M Smith, PHARM D

  • Pharmacist
  • Peoria, IL
  • NPI 1215057815
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1851483564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 N STATE ROUTE 91",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159541",
            "telephone_number": "309-691-9800",
            "fax_number": "309-691-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N STATE ROUTE 91",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159541",
            "telephone_number": "309-691-9800",
            "fax_number": "309-691-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA COUNTY DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BEEKMAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "309-691-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1474523",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peoria Billing Services
• Peoria Chiropractic PC
• Peoria Cnty BD for Care CFC 14
• Peoria County Board for the Care & Treatment of Persons With a Develop
• Peoria County Court Administration
• Peoria County Rural Transportation
• Peoria Day Surgery Center LTD
• Peoria Dental Care
• Peoria Dental LLC
• Peoria Ear Nose and Throat Group SC

• Community/Retail Pharmacy in Peoria, IL
• Providers in Peoria, 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 Mar 7, 2023; 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.