John A Brackney

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.030910 Issued in IL

Practice address

200 N Main St
East Peoria, IL 61611-2549

Phone

(309) 694-1496

Fax

(309) 694-2097

NPI assigned

Feb 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1932807021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 N TOWNSEND DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151389",
            "telephone_number": "309-634-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112549",
            "telephone_number": "309-694-1496",
            "fax_number": "309-694-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKNEY",
        "first_name": "JOHN",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.030910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Beverly
• Sarah Bidne, MA, CCC-SLP
• Dana A D Bischoff, MA CSADC
• Anne Marie Blue, PHARMD
• Amelia Boncu
• Kmisha Brand, RN, MSN, FNP-BC
• Bravo Care of East Peoria Inc (Rosewood Care Center of East Peoria)
• Morgan Elizabeth Brockhouse, DMD
• Dustin Brooks
• Reka Brooks

• Pharmacist in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.