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DR. GREGORY TYLER BOOTH PHARM.D.
NPI 1639779150
Pharmacist in Springfield, IL

Active since October 26, 2020
2760 N DIRKSEN PKWY, SPRINGFIELD, IL 62702(217) 522-4054(217) 522-4075 Get Directions Write a Review

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

About Dr. Gregory Tyler Booth Pharm.d. NPPES

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

DR. GREGORY TYLER BOOTH PHARM.D. (NPI 1639779150) is an individual pharmacist in Springfield, Illinois, licensed in Illinois (051295476) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1639779150
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. GREGORY TYLER BOOTHCredential: PHARM.D.
Location Address2760 N DIRKSEN PKWYSpringfield, IL 62702-1448
Mailing Address2300 Gander RdSpringfield, IL 62711-8199 · (217) 652-9593
Phone(217) 522-4054
Fax(217) 522-4075
Sole ProprietorNo
Enumeration DateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1639779150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in IL · 051295476✔ Licensed in TX · 59336
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.

2760 N DIRKSEN PKWY, Springfield, IL 62702
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Other Providers at the Same Location NPPES 7

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

DR. KIRK KLEIN PHARMD
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Sangamon County (217) 522-4054
TRISTATE PROFESSIONAL SERVICES INC
Optometrist
2760 N DIRKSEN PKWY, ATTN: WALMART VISION CTR
SPRINGFIELD, IL 62702
Sangamon County (217) 522-4396
DR. RIDGE LIN PHARMD
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Sangamon County (217) 522-4054
WALMART INC.
Pharmacy (Community/Retail Pharmacy)
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Sangamon County (217) 522-4054
NOLAN ROGERS PHARMD
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Sangamon County (217) 522-4054
WAL-MART STORES, INC
Eyewear Supplier
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Sangamon County (217) 522-3090
LAUREN BALLWEG PHARMD
Pharmacist
2760 N DIRKSEN PKWY
SPRINGFIELD, IL 62702
Sangamon County (217) 522-4054

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 Gregory Booth's NPI number?

The NPI number for Gregory Booth is 1639779150. It was assigned to this individual provider in the NPPES registry on October 26, 2020.

Where is Gregory Booth located?

Gregory Booth practices at 2760 N Dirksen Pkwy, Springfield, IL 62702. The listed phone number is (217) 522-4054.

What is Gregory Booth'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 Gregory Booth was last updated on October 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.