PAVILION PHARMACY LLC NPI 1851362230

NPI Information

  • NPI: 1851362230
  • Provider Name: PAVILION PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 301 N 8TH ST
    STE 1A106
    SPRINGFIELD, IL
    ZIP 62701
  • Phone: (217) 789-4355

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NPI Details

PAVILION PHARMACY LLC is a community/retail pharmacy pharmacy in Springfield, IL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PAVILION PHARMACY LLC NPI is 1851362230. The provider is registered as an organization entity type.

The provider's business location address is:

301 N 8TH ST
STE 1A106
SPRINGFIELD, IL
ZIP 62701-041
Phone: (217) 789-4355
Fax: (217) 789-0129

The provider's authorized official is Quin Hostetler .
The authorized official title is Manager and has the following contact phone number (217) 789-4355.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========001MEDICAIDILLINOIS
21458442OTHEROTHER ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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