Unknown Individual – Pharmacist, NPI 1871157545

Unknown Individual is a healthcare provider. based in Davenport, Iowa. specializing in Pharmacist. They hold a License No. 23033 (IA). The NPI Number for Unknown Individual is 1871157545

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1871157545
Phone
(618) 713-6460
Address
4800 GRAND AVE APT D201
Deactivation Date
23 January 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4800 GRAND AVE APT D201

    DAVENPORT, IA 528071037

    Phone: (618) 713-6460

    Type: Mailing

  • 201, 10th Avenue West, Ginger Hill, Milan, Rock Island County, Illinois, 61264, United States

    MILAN, IL 612642342

    Phone: (309) 756-9907

    Type: Location

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 52807)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1871157545 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
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.
What practice footprint exists for Unknown Individual?
Travel planning: use Davenport, Iowa as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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