Matthew Juknius, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

051291808 Issued in IL

Practice address

2515 N Knoxville Ave
Peoria, IL 61604-3621

Phone

(309) 685-2012

NPI assigned

Aug 26, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Peoria, IL
  • NPI 1023025053
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1972883593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W ALTA RD APT 1608",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151297",
            "telephone_number": "708-250-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043621",
            "telephone_number": "309-685-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUKNIUS",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051291808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Miller
• Lisa A Joyce, M.S., CCC-SLP/L
• Chelsey Kaelin Judy, APRN
• Randi Jo Juenger
• Srinivas Jujjavarapu, MD
• Daniel Julius
• So Youn Jun, DO
• Junction Medical SC
• Kristin Junge, OTR/L
• Amy M Junker, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.