Unknown Individual – Pharmacist, NPI 1558314351

Unknown Individual is a healthcare provider. based in Collinsville, Illinois. specializing in Pharmacist. The NPI Number for Unknown Individual is 1558314351

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558314351
Phone
(618) 344-3450
Address
417 W MAIN ST
Deactivation Date
27 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 417, West Main Street, Collinsville, Madison County, Illinois, 62234, United States

    COLLINSVILLE, IL 62234

    Phone: (618) 344-3450

    Fax: (618) 344-2793

    Type: Location

  • 1063, Frontage Road, Meadow Heights, Collinsville, Madison County, Illinois, 62234, United States

    COLLINSVILLE, IL 62234

    Phone: (618) 345-3314

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62234)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1558314351?
NPI 1558314351 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Pharmacist in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Collinsville, Illinois as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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