Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Extended Pharmacy LLC

Organization Pharmacy · NPI 1700014446

Extended Pharmacy LLC is a Pharmacy in Peoria, Illinois. Licensed in Illinois, Indiana and Missouri. Registered with an NPI since 2009.

Licensed in
IL, IN, MO
In the registry since
2009
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 State St Ste 1A
Peoria, IL 61602-1547
Phone: (309) 676-4831
Fax: (309) 676-7014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 054016704 (IL)
Pharmacy Taxonomy 333600000X · Licence 64002202A (IN)
Long Term Care Pharmacy Taxonomy 3336L0003X · Licence 2015044792 (MO)

Record details

NPI number1700014446
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Spires — Manager · (309) 676-4831
Other names Extended Pharmacy Llc
NPI enumeratedJuly 1, 2009
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address121 State St Ste 1a, Peoria, IL 61602-1547

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