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DAX FUITEN PHARM.D
NPI 1255935250
Pharmacist in East Peoria, IL

Active since November 30, 2020
200 N MAIN ST, EAST PEORIA, IL 61611(309) 694-1496 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dax Fuiten Pharm.d NPPES

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

DAX FUITEN PHARM.D (NPI 1255935250) is an individual pharmacist in East Peoria, Illinois, licensed in Illinois (051-286415) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1255935250
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDAX FUITENCredential: PHARM.D
Location Address200 N MAIN STEast Peoria, IL 61611-2549
Mailing Address200 N Main StEast Peoria, IL 61611-2549
Phone(309) 694-1496
Sole ProprietorYes
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1255935250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IL · 051-286415
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.
200 N MAIN ST, East Peoria, IL 61611
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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.

HIGHLAND PARK CVS, L.L.C.
Pharmacy
200 N MAIN ST
PEORIA, IL 61611
Tazewell County (309) 694-1496
MICHELE MARIE TINGLEFF RPH
Pharmacist
200 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-1496
JOHN A BRACKNEY
Pharmacist
200 N MAIN ST
EAST PEORIA, IL 61611
Tazewell County (309) 694-1496

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 Dax Fuiten's NPI number?

The NPI number for Dax Fuiten is 1255935250. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Dax Fuiten located?

Dax Fuiten practices at 200 N Main St, East Peoria, IL 61611. The listed phone number is (309) 694-1496.

What is Dax Fuiten'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 Dax Fuiten was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.