METHODIST PHARMACY @ ALLEN ROAD
NPI 1689661795
Pharmacy in Peoria, IL

NPI Status: Active since October 04, 2005

Contact Information

2338 W SUD PKWY
PEORIA, IL
ZIP 61615
Phone: (309) 683-8885
Fax: (309) 683-8850

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  • Pharmacy

About METHODIST PHARMACY @ ALLEN ROAD

This page provides the complete NPI Profile along with additional information for Methodist Pharmacy @ Allen Road, a provider established in Peoria, Illinois operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1689661795 assigned on October 2005. The practitioner's primary taxonomy code is 333600000X with license number 051-028094 (IL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's other name is Methodist Pharmacy @ Allen Road. The authorized official of this NPI record is Mrs. Barbara Ann Barnewolt B.s. Pharmacy (Pharmacist In Charge)

NPI
1689661795
Provider Legal Name
HEARTLAND HOME HEALTH CARE
Other Organization Name
METHODIST PHARMACY @ ALLEN ROAD
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2338 W SUD PKWY PEORIA, IL 61615
Location Phone
(309) 683-8885
Location Fax
(309) 683-8850
Mailing Address
2338 W. SUD PARKWAY PEORIA, IL 61525
Mailing Phone
(309) 683-8885
Mailing Fax
(309) 683-8850
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2005
Last Update Date
08-17-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
License No.
051-028094
License State
IL
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BARBARA ANN BARNEWOLT B.S. PHARMACY

Authorized Official Title
PHARMACIST IN CHARGE
Authorized Official Phone
(309) 683-8885

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========003MEDICAID (05)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689661795
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691262718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 2 + 6 + 2 + 7 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1689661795 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952452013 CYNTHIA J RANKIN P. T.
Individual
Physical Therapist2338 W SUD PKWY SUITE 3100
PEORIA, IL 61615
(309) 693-9189
1922386044 MARISSA L ULM SLP
Individual
Speech-Language Pathologist2338 W SUD PKWY SUITE 3100
PEORIA, IL 61615
(309) 693-9189

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689661795, enumerated in the NPI registry as an "organization" on October 04, 2005

The provider is located at 2338 W Sud Pkwy Peoria, Il 61615 and the phone number is (309) 683-8885

This medical organization specializes in Pharmacy with taxonomy code 333600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 04, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.