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

Pbcc Pharmacy LLC

Organization Pharmacy · NPI 1366070476

Pbcc Pharmacy LLC is a Pharmacy in Springfield, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

1500 W Washington St Ste B
Springfield, IL 62702-4756
Phone: (217) 546-7100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1366070476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osvaldo Wesly — Medical Director · (217) 414-1041
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address105 S Amos Ave, Springfield, IL 62704-1528

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