SHAYBRIANA GROTH PHARMD
NPI 1710770169
Pharmacist - Pediatrics in Peoria, IL

Active since May 28, 2025
530 NE GLEN OAK AVE, PEORIA, IL 61637(414) 630-7572 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shaybriana Groth Pharmd NPPES

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

SHAYBRIANA GROTH PHARMD (NPI 1710770169) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (051306418) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1710770169
Entity TypeIndividualFemale
Primary Taxonomy1835P0200X
Provider Legal NameSHAYBRIANA GROTHCredential: PHARMD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address5411 W Haymeadow Pl Apt 2cPeoria, IL 61615-3136 · (414) 630-7572
Sole ProprietorNo
Enumeration DateMay 28, 2025
NPPES CertifiedMay 28, 2025
NPI 1710770169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · PediatricsPharmacy Service Providers
Taxonomy Code1835P0200X
Licenses Licensed in IL · 051306418 Licensed in WI · 22474-40
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists that ensures the safe and effective use of medications for all children from neonates through adolescents.
530 NE GLEN OAK AVE, Peoria, IL 61637

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Shaybriana Groth's NPI number?

The NPI number for Shaybriana Groth is 1710770169. It was assigned to this individual provider in the NPPES registry on May 28, 2025.

Where is Shaybriana Groth located?

Shaybriana Groth practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (414) 630-7572.

What is Shaybriana Groth's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pediatrics, with taxonomy code 1835P0200X.

When was this NPI record last updated?

The NPPES record for Shaybriana Groth was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.