NPIMap

Organization Active NPI

American Pharmacy of Il Inc

Doing business as Alwan Pharmacy

  • Pharmacy
  • West Peoria, IL
National Provider Identifier
1871546432
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
051035850 Issued in IL
Legal business name
AMERICAN PHARMACY OF IL INC
Doing business as
Alwan Pharmacy
Practice address
311 N Western Ave
West Peoria, IL 61604-5638
Phone
(309) 676-6333
Fax
(309) 676-1928
NPI assigned
May 17, 2006
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Mr. Michael W Minesinger, RPHNPI 1467504878
Title
President
Phone
(309) 676-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 051035850 IL Primary
Compounding Pharmacy 3336C0004X FA0212237 IL

Addresses

Primary practice location

311 N Western Ave
West Peoria, IL 61604-5638

Mailing address

311 N Western Ave
Peoria, IL 61604
Phone (309) 676-6333

Other names 1

  • Alwan Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1871546432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N WESTERN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61604",
            "telephone_number": "309-676-6333",
            "fax_number": "309-676-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N WESTERN AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616045638",
            "telephone_number": "309-676-6333",
            "fax_number": "309-676-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PHARMACY OF IL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "MINESINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-676-6333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IL",
            "license": "051035850",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IL",
            "license": "FA0212237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alwan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.