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MR. DANIEL WILDER CPHT
NPI 1104569268
Pharmacy Technician in East Peoria, IL

Active since April 18, 2022
300 N MAIN ST, EAST PEORIA, IL 61611(309) 694-7661 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, May 27, 2022, Apr 18, 2022 (3 updates tracked since 2022).

About Mr. Daniel Wilder Cpht NPPES

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

MR. DANIEL WILDER CPHT (NPI 1104569268) is an individual pharmacy technician in East Peoria, Illinois, licensed in Illinois (049.278851) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1104569268
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NameMR. DANIEL WILDERCredential: CPHT
Location Address300 N MAIN STEast Peoria, IL 61611-2081
Mailing Address1011 Peoria StWashington, IL 61571-2487 · (309) 444-1681
Phone(309) 694-7661
Sole ProprietorYes
Enumeration DateApril 18, 2022
Last NPPES UpdateFebruary 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1104569268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in IL · 049.278851
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
300 N MAIN ST, East Peoria, IL 61611
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Other Providers at the Same Location NPPES 10

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

SCOTT ALLEN JOHNSON RPH
Pharmacist
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661
ANNE MARIE BLUE PHARMD
Pharmacist
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661
DR. JEREMY RUTHERFORD PHARMD.
Pharmacist (Geriatric)
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661
CHRISTOPHER JACOBSEN
Pharmacist
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661
DR. SARAH WHITE PHARMD
Pharmacist
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661
DANIELLE NICOLE KIRGAN PHARM D
Pharmacist
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661
MRS. ANNA LISA FISHER R.PH.
Pharmacist
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661
WALGREEN CO
Pharmacy
300 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-7661

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 Daniel Wilder's NPI number?

The NPI number for Daniel Wilder is 1104569268. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Daniel Wilder located?

Daniel Wilder practices at 300 N Main St, East Peoria, IL 61611. The listed phone number is (309) 694-7661.

What is Daniel Wilder's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Daniel Wilder was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.