BROCKTON STOTLAR PHARMD
NPI 1073381281
Pharmacist in Marion, IL

Active since December 18, 2023
2401 W MAIN ST, MARION, IL 62959(618) 889-6956 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brockton Stotlar Pharmd NPPES

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

BROCKTON STOTLAR PHARMD (NPI 1073381281) is an individual pharmacist in Marion, Illinois, licensed in Illinois (051.304659) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1073381281
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBROCKTON STOTLARCredential: PHARMD
Location Address2401 W MAIN STMarion, IL 62959-1188
Mailing Address4300 Cypress Grove PlMarion, IL 62959-6651 · (618) 889-6956
Sole ProprietorYes
Enumeration DateDecember 18, 2023
NPPES CertifiedDecember 17, 2023
NPI 1073381281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in IL · 051.304659 Licensed in MO · 2013027406
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.
2401 W MAIN ST, Marion, IL 62959

Other Providers at the Same Location NPPES 20

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

Registered Nurse
2401 W MAIN ST
MARION, IL 62959
Physical Therapy Assistant
2401 W MAIN ST
MARION, IL 62959
Registered Nurse
2401 W MAIN ST
MARION, IL 62959
Occupational Therapist
2401 W MAIN ST
MARION, IL 62959
Dietitian, Registered
2401 W MAIN ST
MARION, IL 62959
Registered Nurse
2401 W MAIN ST
MARION, IL 62959
Registered Nurse (Ambulatory Care)
2401 W MAIN ST
MARION, IL 62959
Registered Nurse (Oncology)
2401 W MAIN ST
MARION, IL 62959

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 Brockton Stotlar's NPI number?

The NPI number for Brockton Stotlar is 1073381281. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Where is Brockton Stotlar located?

Brockton Stotlar practices at 2401 W Main St, Marion, IL 62959. The listed phone number is (618) 889-6956.

What is Brockton Stotlar'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 Brockton Stotlar was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.