NAUVOO PHARMACY PLLC NPI 1205078847

NPI Information

  • NPI: 1205078847
  • Provider Name: NAUVOO PHARMACY, PLLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 1350 MULHOLLAND STREET
    NAUVOO, IL
    ZIP 62354
  • Phone: (217) 453-2717

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NPI Details

NAUVOO PHARMACY, PLLC is a community/retail pharmacy pharmacy in Nauvoo, 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. NAUVOO PHARMACY, PLLC NPI is 1205078847. The provider is registered as an organization entity type.

The provider's business location address is:

1350 MULHOLLAND STREET
NAUVOO, IL
ZIP 62354
Phone: (217) 453-2717
Fax: (217) 453-6456

The provider's authorized official is Mattie Ann Haas .
The authorized official title is Pharmacist/owner and has the following contact phone number (217) 453-2717.

The enumeration date for this NPI number is 3/27/2009 and was last updated on 2/17/2023.

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
1332B00000XDurable Medical Equipment & Medical Supplies054007478ILLINOISNo
23336C0003XPharmacyCommunity/Retail Pharmacy054007478ILLINOISYes

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
13711031796235401MEDICAIDILLINOIS

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: 11/21/2025

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