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DOLAN CENTRAL ILLINOIS COMPOUNDING LLC
NPI 1093883290
Pharmacy - Compounding Pharmacy in Peoria, IL

Active since December 04, 2006
5832 N KNOXVILLE AVE STE E, PEORIA, IL 61614(309) 679-2047(309) 679-2051 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, May 24, 2018 and 3 more (6 updates tracked since 2015).

About Dolan Central Illinois Compounding Llc NPPES

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

DOLAN CENTRAL ILLINOIS COMPOUNDING LLC (NPI 1093883290), doing business as Preckshot Professional Pharmacy, is a healthcare organization registered as a compounding pharmacy in Peoria, Illinois and active in the NPI registry since December 2006. The organization lists Corey Dolan, Pharmacist, as its authorized official.

NPPES Registry Identity

NPI1093883290
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameDOLAN CENTRAL ILLINOIS COMPOUNDING LLC
Location Address5832 N KNOXVILLE AVE STE EPeoria, IL 61614-4304
Mailing Address5832 N Knoxville Ave Ste EPeoria, IL 61614-4304 · (309) 679-2047 · Fax (309) 679-2051
Phone(309) 679-2047
Fax(309) 679-2051
Organization SubpartNo
Authorized OfficialCorey DolanPharmacist · (309) 679-2047
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 19, 20256 updates tracked since enumeration
✔ NPI 1093883290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
License✔ Licensed in IA · 4394
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X · License 054.020600 (IL)
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 2099-43 (WI)
5832 N KNOXVILLE AVE STE E, Peoria, IL 61614
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Other Names 1

Doing Business AsPreckshot Professional Pharmacy

Other Identifiers 1

Other2175601Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Medica and more.Insurance ›

Other Providers at the Same Location NPPES

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

DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC
Pharmacist
5832 N KNOXVILLE AVE STE E
PEORIA, IL 61614
Peoria County (309) 679-2047

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 Dolan Central Illinois Compounding LLC's NPI number?

The NPI number for Dolan Central Illinois Compounding LLC is 1093883290. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as Preckshot Professional Pharmacy.

Where is Dolan Central Illinois Compounding LLC located?

Dolan Central Illinois Compounding LLC is located at 5832 N Knoxville Ave Ste E, Peoria, IL 61614. The listed phone number is (309) 679-2047.

What is Dolan Central Illinois Compounding LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Dolan Central Illinois Compounding LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Medica, Molina Healthcare and Oscar Health Insurance and 5 other insurers list Dolan Central Illinois Compounding LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dolan Central Illinois Compounding LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.