CJ GROETKEN RPH
NPI 1962008805
Pharmacist in Normal, IL

Active since December 07, 2020
100 S FELL AVE, NORMAL, IL 61761(309) 452-0393 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cj Groetken Rph NPPES

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

CJ GROETKEN RPH (NPI 1962008805) is an individual pharmacist in Normal, Illinois, licensed in Illinois (051290827) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1962008805
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCJ GROETKENCredential: RPH
Location Address100 S FELL AVENormal, IL 61761-6627
Mailing Address100 S Fell AveNormal, IL 61761-6627 · (309) 452-0393
Sole ProprietorYes
Enumeration DateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1962008805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051290827
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.

100 S FELL AVE, Normal, IL 61761

Other Providers at the Same Location NPPES

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

Pharmacy
100 S FELL AVE, SUITE 103
NORMAL, IL 61761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962008805, enumerated as an "individual" on December 07, 2020.

The provider is located at 100 S FELL AVE NORMAL, IL 61761 and the phone number is (309) 452-0393.

Pharmacist with taxonomy code 183500000X.