Active NPI
Randall Stuerman, RPH
- Pharmacist
- Minonk, IL
National Provider Identifier
1972827780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051291768
- Practice address
- 1305 N Carolyn Dr
Minonk, IL 61760-9326 - Phone
- (309) 432-3451
- NPI assigned
- Mar 23, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4943 | SD | |
| Pharmacist | 183500000X | 18551 | IA | |
| Pharmacist | 183500000X | 051291768 | IL | Primary |
Addresses
Primary practice location
1305 N Carolyn Dr
Minonk, IL 61760-9326
Mailing address
1608 E Empire St
Bloomington, IL 61701-3511
Phone (309) 662-0428
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18551 | IA | MD | Pharmacist |
| 051291768 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Tree Pharmacy, Inc. | Current | Accepting new patients |
Locations
1305 N Carolyn Dr
Minonk, IL 61760
Phone (309) 432-3451
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1972827780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 E EMPIRE ST",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013511",
"telephone_number": "309-662-0428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 N CAROLYN DR",
"city": "MINONK",
"state": "IL",
"postal_code": "617609326",
"telephone_number": "309-432-3451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUERMAN",
"first_name": "RANDALL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-23",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "4943",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "18551",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051291768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minonk, IL
- Rebecca Bowen Reynolds, RPH
- Amy Rice
- Saint James Hospital (OSF Healthcare - Medical Group - Minonk)
- Eric Ross Saxton, PT
- Kailynne Dorinda Jean Stears, CCC-SLP
- Brooke Michelle Vancoppenolle, RN
- Timothy Gordon Weech, D.C.
- David D Wegman, RPH, MS, FASCP, CGP
- Jessica Lynn White, M.D.
- Madena Whitesell, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.