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

Douglas Wade Sperry, RPH

Individual provider Pharmacist · NPI 1649670902

Douglas Wade Sperry, RPH is a Pharmacist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

4100 W Willow Knolls Dr
Peoria, IL 61615-4405
Phone: (309) 692-1814
Fax: (309) 692-1863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051032980 (IL)

Record details

NPI number1649670902
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedAugust 23, 2014
Last updated in NPPESAugust 23, 2014
Mailing address15675 King Rd, Danvers, IL 61732-8409

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