DR. SAM B AN PHARM.D.
NPI 1003218090
Pharmacist in Peoria, IL

Active since September 22, 2014
311 N WESTERN AVE, PEORIA, IL 61604(309) 676-6333(309) 676-1928 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2019, Sep 27, 2016 (2 updates tracked since 2016).

About Dr. Sam B An Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM B AN PHARM.D. (NPI 1003218090) is an individual pharmacist in Peoria, Illinois, licensed in Illinois (051297279) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1003218090
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. SAM B ANCredential: PHARM.D.
Location Address311 N WESTERN AVEPeoria, IL 61604-5638
Mailing Address311 N Western AvePeoria, IL 61604-5638 · (309) 676-6333 · Fax (309) 676-1928
Fax(309) 676-1928
Sole ProprietorNo
Enumeration DateSeptember 22, 2014
Last NPPES UpdateDecember 16, 20192 updates tracked since enumeration
NPI 1003218090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051297279
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
311 N WESTERN AVE, Peoria, IL 61604

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
311 N WESTERN AVE
PEORIA, IL 61604
Pharmacist
311 N WESTERN AVE
PEORIA, IL 61604
Pharmacist
311 N WESTERN AVE
PEORIA, IL 61604
Pharmacy
311 N WESTERN AVE
WEST PEORIA, IL 61604
Pharmacy (Long Term Care Pharmacy)
311 N WESTERN AVE
PEORIA, IL 61604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam An's NPI number?

The NPI number for Sam An is 1003218090. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Sam An located?

Sam An practices at 311 N Western Ave, Peoria, IL 61604. The listed phone number is (309) 676-6333.

What is Sam An's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Sam An was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.