AMANDA DIANE BEOLETTO PHARMD
NPI 1568074474
Pharmacist in Peoria, IL

Active since August 21, 2020
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-0023 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Diane Beoletto Pharmd NPPES

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

AMANDA DIANE BEOLETTO PHARMD (NPI 1568074474) is an individual pharmacist in Peoria, Illinois, licensed in Illinois (051300049) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1568074474
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameAMANDA DIANE BEOLETTOCredential: PHARMD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-0023
Sole ProprietorNo
Enumeration DateAugust 21, 2020
NPPES CertifiedAugust 21, 2020
NPI 1568074474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051300049
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.
530 NE GLEN OAK AVE, Peoria, IL 61637

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Amanda Beoletto's NPI number?

The NPI number for Amanda Beoletto is 1568074474. It was assigned to this individual provider in the NPPES registry on August 21, 2020.

Where is Amanda Beoletto located?

Amanda Beoletto practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-0023.

What is Amanda Beoletto'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 Amanda Beoletto was last updated on August 21, 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.