Unknown Individual – Pharmacist, NPI 1710209580

Unknown Individual is a healthcare provider. based in Collinsville, Illinois. specializing in Pharmacist. They hold a License No. 051.027407 (IL). The NPI Number for Unknown Individual is 1710209580

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710209580
Phone
(618) 344-5903
Address
1101 BELT LINE RD
Deactivation Date
14 June 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Walmart Neighborhood Market, 1101, Belt Line Road, Collinsville, Madison County, Illinois, 62234, United States

    COLLINSVILLE, IL 622344368

    Phone: (618) 344-5903

    Mailing address matches the actual address.

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

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1710209580.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Pharmacist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Collinsville, Illinois because that is what the record indicates for Unknown Individual.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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