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EXTENDED PHARMACY LLC
NPI 1700014446
Pharmacy - Long Term Care Pharmacy in Peoria, IL

Active since July 01, 2009
121 STATE ST STE 1A, PEORIA, IL 61602(309) 676-4831(309) 676-7014 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2023, Feb 27, 2017, Mar 29, 2016 (3 updates tracked since 2016).

About Extended Pharmacy Llc NPPES

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

EXTENDED PHARMACY LLC (NPI 1700014446) is a healthcare organization registered as a long term care pharmacy in Peoria, Illinois and active in the NPI registry since July 2009. The organization lists Eric Spires, Manager, as its authorized official.

NPPES Registry Identity

NPI1700014446
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEXTENDED PHARMACY LLC
Location Address121 STATE ST STE 1APeoria, IL 61602-1547
Mailing Address121 State St Ste 1aPeoria, IL 61602-1547 · (309) 676-4831 · Fax (309) 676-7014
Phone(309) 676-4831
Fax(309) 676-7014
Organization SubpartNo
Authorized OfficialEric SpiresManager · (309) 676-4831
Enumeration DateJuly 1, 2009
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1700014446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Licenses✔ Licensed in IL · 054016704✔ Licensed in MO · 2015044792
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X · License 64002202A (IN)
121 STATE ST STE 1A, Peoria, IL 61602
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Other Names 1

Doing Business AsExtended Pharmacy Llc

Other Identifiers 1

Other2120962Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients

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 Extended Pharmacy LLC's NPI number?

The NPI number for Extended Pharmacy LLC is 1700014446. It was assigned to this organization in the NPPES registry on July 1, 2009.

Where is Extended Pharmacy LLC located?

Extended Pharmacy LLC is located at 121 State St Ste 1A, Peoria, IL 61602. The listed phone number is (309) 676-4831.

What is Extended Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Extended Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Extended Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Extended Pharmacy LLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.