1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Pharmacy
  6. NPI Profile

PBCC PHARMACY LLC
NPI 1366070476
Pharmacy in Springfield, IL

Active since April 01, 2020
1500 W WASHINGTON ST STE B, SPRINGFIELD, IL 62702(217) 546-7100 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Feb 24, 2021, Jun 24, 2020 and 1 more (4 updates tracked since 2020).

About Pbcc Pharmacy Llc NPPES

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

PBCC PHARMACY LLC (NPI 1366070476) is a healthcare organization registered as a pharmacy in Springfield, Illinois and active in the NPI registry since April 2020. The organization lists Osvaldo Wesly, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366070476
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePBCC PHARMACY LLC
Location Address1500 W WASHINGTON ST STE BSpringfield, IL 62702-4756
Mailing Address105 S Amos AveSpringfield, IL 62704-1528
Phone(217) 546-7100
Organization SubpartNo
Authorized OfficialOsvaldo WeslyMedical Director · (217) 414-1041
Enumeration DateApril 1, 2020
Last NPPES UpdateApril 7, 20254 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1366070476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1500 W WASHINGTON ST STE B, Springfield, IL 62702
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

PBCC PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1500 W WASHINGTON ST STE B
SPRINGFIELD, IL 62702
Sangamon County (217) 679-5446

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 Pbcc Pharmacy LLC's NPI number?

The NPI number for Pbcc Pharmacy LLC is 1366070476. It was assigned to this organization in the NPPES registry on April 1, 2020.

Where is Pbcc Pharmacy LLC located?

Pbcc Pharmacy LLC is located at 1500 W Washington St Ste B, Springfield, IL 62702. The listed phone number is (217) 546-7100.

What is Pbcc Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Pbcc Pharmacy LLC was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.