JONATHAN CULLIS PHARM. D.
NPI 1053721480
Pharmacist - Pharmacotherapy in Springfield, IL

Active since May 07, 2014
4200 CONESTOGA DR, SPRINGFIELD, IL 62711(217) 547-2410 Get Directions Write a Review

NPPES record last updated: May 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Cullis Pharm. D. NPPES

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

JONATHAN CULLIS PHARM. D. (NPI 1053721480) is an individual pharmacotherapy provider in Springfield, Illinois, licensed in Illinois (051.297101) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1053721480
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameJONATHAN CULLISCredential: PHARM. D.
Location Address4200 CONESTOGA DRSpringfield, IL 62711-7962
Mailing Address57 Providence LnSpringfield, IL 62711
Sole ProprietorNo
Enumeration DateMay 7, 2014
NPI 1053721480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License Licensed in IL · 051.297101
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
4200 CONESTOGA DR, Springfield, IL 62711

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
4200 CONESTOGA DR
SPRINGFIELD, IL 62711
Nurse Practitioner
4200 CONESTOGA DR
SPRINGFIELD, IL 62711
Behavior Technician
4200 CONESTOGA DR
SPRINGFIELD, IL 62711

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 Jonathan Cullis's NPI number?

The NPI number for Jonathan Cullis is 1053721480. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Jonathan Cullis located?

Jonathan Cullis practices at 4200 Conestoga Dr, Springfield, IL 62711. The listed phone number is (217) 547-2410.

What is Jonathan Cullis's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Jonathan Cullis was last updated on May 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.