SHANE MICHAEL PECK PHARMD
NPI 1710587175
Pharmacist in Anna, IL

Active since October 27, 2020

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane Michael Peck Pharmd NPPES

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

SHANE MICHAEL PECK PHARMD (NPI 1710587175) is an individual pharmacist in Anna, Illinois, licensed in Illinois (051299014) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1710587175
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSHANE MICHAEL PECKCredential: PHARMD
Location Address300 LEIGH AVEAnna, IL 62906-2213
Mailing Address175 Tollgate RdAnna, IL 62906-5400
Sole ProprietorYes
Enumeration DateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
NPI 1710587175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051299014
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.

300 LEIGH AVE, Anna, IL 62906

Other Providers at the Same Location NPPES 4

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

Pharmacist
300 LEIGH AVE
ANNA, IL 62906
Pharmacist
300 LEIGH AVE
ANNA, IL 62906
Pharmacist
300 LEIGH AVE
ANNA, IL 62906
Pharmacy (Community/Retail Pharmacy)
300 LEIGH AVE
ANNA, IL 62906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710587175, enumerated as an "individual" on October 27, 2020.

The provider is located at 300 LEIGH AVE ANNA, IL 62906 and the phone number is (618) 833-8580.

Pharmacist with taxonomy code 183500000X.