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

Blake Loran Cornwell, PHARMD

Individual provider Pharmacist · NPI 1912501958

Blake Loran Cornwell, PHARMD is a Pharmacist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

6820 N Peartree Ln
Peoria, IL 61615-2471
Phone: (309) 241-8644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.302233 (IL)

Record details

NPI number1912501958
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 30, 2020
Last updated in NPPESNovember 30, 2020
Certification dateNovember 30, 2020
Mailing address1800 W Marigold Dr Apt 7310, Peoria, IL 61615-7260

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