1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Pharmacist
  6. NPI Profile

DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC
NPI 1568970556
Pharmacist in Peoria, IL

Active since January 12, 2018
5832 N KNOXVILLE AVE STE E, PEORIA, IL 61614(309) 679-2047(309) 679-2051 Get Directions Write a Review

NPPES record last updated: March 19, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 19, 2018, Jan 12, 2018 (2 updates tracked since 2018).

About Dolan Central Illinois Compounding Pharmacy Llc NPPES

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

DOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC (NPI 1568970556) is a healthcare organization registered as a pharmacist in Peoria, Illinois and active in the NPI registry since January 2018. The organization lists Corey Dolan, Owner/pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1568970556
Entity TypeOrganization
Primary Taxonomy183500000X
Legal Business NameDOLAN CENTRAL ILLINOIS COMPOUNDING PHARMACY LLC
Location Address5832 N KNOXVILLE AVE STE EPeoria, IL 61614-4304
Mailing Address5832 N Knoxville Ave Ste EPeoria, IL 61614-4304 · (309) 679-2047
Phone(309) 679-2047
Fax(309) 679-2051
Organization SubpartNo
Authorized OfficialCorey DolanOwner/pharmacy Manager · (309) 679-2047
Enumeration DateJanuary 12, 2018
Last NPPES UpdateMarch 19, 20182 updates tracked since enumeration
✔ NPI 1568970556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
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.
5832 N KNOXVILLE AVE STE E, Peoria, IL 61614
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DOLAN CENTRAL ILLINOIS COMPOUNDING LLC
Pharmacy (Compounding Pharmacy)
5832 N KNOXVILLE AVE STE E
PEORIA, IL 61614
Peoria County (309) 679-2047

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 Dolan Central Illinois Compounding Pharmacy LLC's NPI number?

The NPI number for Dolan Central Illinois Compounding Pharmacy LLC is 1568970556. It was assigned to this organization in the NPPES registry on January 12, 2018.

Where is Dolan Central Illinois Compounding Pharmacy LLC located?

Dolan Central Illinois Compounding Pharmacy LLC is located at 5832 N Knoxville Ave Ste E, Peoria, IL 61614. The listed phone number is (309) 679-2047.

What is Dolan Central Illinois Compounding Pharmacy LLC'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 Dolan Central Illinois Compounding Pharmacy LLC was last updated on March 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.