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CASSIDY LOUISE DOMAGALLA
NPI 1386222685
Pharmacist - Geriatric in Peoria, IL

Active since March 30, 2021
126 OAK ST, PEORIA, IL 61602(309) 690-7790(866) 385-4948 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassidy Louise Domagalla NPPES

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

CASSIDY LOUISE DOMAGALLA (NPI 1386222685) is an individual geriatric provider in Peoria, Illinois, licensed in Illinois (051.296273) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1386222685
Entity TypeIndividualFemale
Primary Taxonomy1835G0303X
Provider Legal NameCASSIDY LOUISE DOMAGALLA
Location Address126 OAK STPeoria, IL 61602-1639
Mailing Address817 Normal AveNormal, IL 61761-1531 · (708) 516-4718
Phone(309) 690-7790
Fax(866) 385-4948
Sole ProprietorNo
Enumeration DateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
✔ NPI 1386222685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · GeriatricPharmacy Service Providers
Taxonomy Code1835G0303X
License✔ Licensed in IL · 051.296273
Definition
A pharmacist who is certified in geriatric pharmacy practice is designated as a Certified Geriatric Pharmacist (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
126 OAK ST, Peoria, IL 61602
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Other Identifiers 1

Other051.296273IL · State License

Other Providers at the Same Location NPPES 5

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

AMY REBECCA SNOWDEN PHARMD
Pharmacist
126 OAK ST
PEORIA, IL 61602
Peoria County (309) 690-7790
DR. ANGIE HORLANDER PHARMD
Pharmacist
126 OAK ST
PEORIA, IL 61602
Peoria County (309) 690-7790
SHIRLEY POTTS
Licensed Practical Nurse
126 OAK ST
PEORIA, IL 61602
Peoria County (309) 690-7790
CRITICAL CARE RX, LLC
Pharmacy (Long Term Care Pharmacy)
126 OAK ST
PEORIA, IL 61602
Peoria County (833) 352-0966
KIMBERLY SEAMAN RN
Registered Nurse
126 OAK ST
PEORIA, IL 61602
Peoria County (309) 690-7790

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 Cassidy Domagalla's NPI number?

The NPI number for Cassidy Domagalla is 1386222685. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Cassidy Domagalla located?

Cassidy Domagalla practices at 126 Oak St, Peoria, IL 61602. The listed phone number is (309) 690-7790.

What is Cassidy Domagalla's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Geriatric, with taxonomy code 1835G0303X.

When was this NPI record last updated?

The NPPES record for Cassidy Domagalla was last updated on March 30, 2021. 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.