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

Dr. Gregory Tyler Booth, PHARMD

Individual provider Pharmacist · NPI 1639779150

Dr. Gregory Tyler Booth, PHARMD is a Pharmacist in Springfield, Illinois. Licensed in Illinois and Texas. Registered with an NPI since 2020.

Licensed in
IL, TX
In the registry since
2020
Specialties on file
2
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

2760 N Dirksen Pkwy
Springfield, IL 62702-1448
Phone: (217) 522-4054
Fax: (217) 522-4075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051295476 (IL)
Pharmacist Taxonomy 183500000X · Licence 59336 (TX)

Record details

NPI number1639779150
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 26, 2020
Last updated in NPPESOctober 26, 2020
Certification dateOctober 26, 2020
Mailing address2300 Gander Rd, Springfield, IL 62711-8199

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