American Pharmacy of Il Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

AMERICAN PHARMACY OF IL INC

Practice address

311 N Western Ave
Peoria, IL 61604-5638

Phone

(309) 676-6333

NPI assigned

Sep 19, 2024

Organization subpart

No

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

Authorized official

Name

Christina Smith

Title

Controller

Phone

(309) 676-6333

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Sam B An, PHARM.D.

  • Pharmacist
  • Peoria, IL
  • NPI 1003218090
  NPD
• Audrey Butler, PHARMD, RPH

  • Pharmacist
  • Peoria, IL
  • NPI 1336776756
  NPD
• Michael W Minesinger, RPH

  • Pharmacist
  • Peoria, IL
  • NPI 1467504878
  NPD
• Gary L Alwan, RPH

  • Pharmacist
  • Peoria, IL
  • NPI 1275685141
  NPD (past)

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

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1962239186",
    "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": "616045638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N WESTERN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616045638",
            "telephone_number": "309-676-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PHARMACY OF IL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-19",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "309-676-6333"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L Alwan, RPH
• Alaa M Alzarkani Sr.
• Amanda Breeden Counseling Services LLC
• America'S Best Contacts & Eyeglasses
• American Oxygen & Medical Equipment, Inc.
• Julee Amerman, MS/CCC-SLP/L
• Rizwan Amin, MD
• Joyce Ammondson
• Randall J Ammondson, OTR/L
• Nancy A Amos-Schulte, LICENSED CLINICAL SO

• Long Term Care Pharmacy in Peoria, IL
• Providers in Peoria, IL by specialty
• Long Term Care Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.