MATTHEW BLOOM
NPI 1720680804
Pharmacist in Canton, IL

Active since November 12, 2020
825 N MAIN ST, CANTON, IL 61520(309) 647-2610 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Bloom NPPES

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

MATTHEW BLOOM (NPI 1720680804) is an individual pharmacist in Canton, Illinois, licensed in Illinois (051287329) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1720680804
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMATTHEW BLOOM
Location Address825 N MAIN STCanton, IL 61520-1264
Mailing Address825 N Main StCanton, IL 61520-1264
Sole ProprietorNo
Enumeration DateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
NPI 1720680804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051287329
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.
825 N MAIN ST, Canton, IL 61520

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.

Pharmacy (Community/Retail Pharmacy)
825 N MAIN ST
CANTON, IL 61520
Dietitian, Registered
825 N MAIN ST
CANTON, IL 61520
Pharmacist
825 N MAIN ST
CANTON, IL 61520
Pharmacist
825 N MAIN ST
CANTON, IL 61520
Dietitian, Registered
825 N MAIN ST
CANTON, IL 61520

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 Matthew Bloom's NPI number?

The NPI number for Matthew Bloom is 1720680804. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Matthew Bloom located?

Matthew Bloom practices at 825 N Main St, Canton, IL 61520. The listed phone number is (309) 647-2610.

What is Matthew Bloom'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 Matthew Bloom was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.