TINA NGUYEN GANNUSCIO PHARMD
NPI 1669871901
Pharmacist in Peoria, IL

Active since August 21, 2014
800 NE GLEN OAK AVE, PEORIA, IL 61603(309) 308-0448 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tina Nguyen Gannuscio Pharmd NPPES

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

TINA NGUYEN GANNUSCIO PHARMD (NPI 1669871901) is an individual pharmacist in Peoria, Illinois, licensed in Illinois (051297880) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1669871901
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTINA NGUYEN GANNUSCIOCredential: PHARMD
Location Address800 NE GLEN OAK AVEPeoria, IL 61603-3255
Mailing Address3216 W Birkshire DrPeoria, IL 61614-2305
Sole ProprietorNo
Enumeration DateAugust 21, 2014
Last NPPES UpdateNovember 28, 2016
NPI 1669871901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051297880
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.

800 NE GLEN OAK AVE, Peoria, IL 61603

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.

Physical Therapist (Neurology)
800 NE GLEN OAK AVE
PEORIA, IL 61603
Nurse Practitioner
800 NE GLEN OAK AVE
PEORIA, IL 61603
Family Medicine
800 NE GLEN OAK AVE
PEORIA, IL 61603
Pediatrics
800 NE GLEN OAK AVE
PEORIA, IL 61603
Student in an Organized Health Care Education/Training Program
800 NE GLEN OAK AVE
PEORIA, IL 61603

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 Tina Gannuscio's NPI number?

The NPI number for Tina Gannuscio is 1669871901. It was assigned to this individual provider in the NPPES registry on August 21, 2014.

Where is Tina Gannuscio located?

Tina Gannuscio practices at 800 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (309) 308-0448.

What is Tina Gannuscio'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 Tina Gannuscio was last updated on November 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.