BLAKE LORAN CORNWELL PHARMD
NPI 1912501958
Pharmacist in Peoria, IL

Active since November 30, 2020
6820 N PEARTREE LN, PEORIA, IL 61615(309) 241-8644 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Loran Cornwell Pharmd NPPES

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

BLAKE LORAN CORNWELL PHARMD (NPI 1912501958) is an individual pharmacist in Peoria, Illinois, licensed in Illinois (051.302233) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1912501958
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBLAKE LORAN CORNWELLCredential: PHARMD
Location Address6820 N PEARTREE LNPeoria, IL 61615-2471
Mailing Address1800 W Marigold Dr Apt 7310Peoria, IL 61615-7260 · (309) 241-8644
Sole ProprietorNo
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
NPI 1912501958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051.302233
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.
6820 N PEARTREE LN, Peoria, IL 61615

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.

Pharmacy
6820 N PEARTREE LN
PEORIA, IL 61615
Pharmacist
6820 N PEARTREE LN
PEORIA, IL 61615
Pharmacist
6820 N PEARTREE LN
PEORIA, IL 61615
Pharmacist
6820 N PEARTREE LN
PEORIA, IL 61615

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 Blake Cornwell's NPI number?

The NPI number for Blake Cornwell is 1912501958. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Where is Blake Cornwell located?

Blake Cornwell practices at 6820 N Peartree Ln, Peoria, IL 61615. The listed phone number is (309) 241-8644.

What is Blake Cornwell'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 Blake Cornwell was last updated on November 30, 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.