Jisha M. John, PHARM D.

Pharmacist · Peoria, IL

Individual Active NPI

NPI number 1083056162

Practice location

1919 W Pioneer Pkwy
Peoria, IL 61615-1825
Phone
(309) 692-0045

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NPI record

NPI
1083056162
Entity type
Individual (Type 1)
Enumeration date
July 18, 2013
Last updated
July 18, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051296623 IL

Mailing address

7815 N Knoxville Ave
Suite 6
Peoria, IL 61614-2078
Phone
(309) 691-5514
Fax
(309) 691-5639

About Dr. John

Jisha M. John, PHARM D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1919 W Pioneer Pkwy, Peoria, IL 61615-1825. The NPI number 1083056162 was assigned on July 18, 2013 and the record was last updated on July 18, 2013.

Dr. John lists a license in the registry: #051296623 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jisha M. John, PHARM D.?

The NPI number is 1083056162.

What is the phone number of Dr. John?

The phone number listed for the practice location is (309) 692-0045.

Where is Dr. John located?

1919 W Pioneer Pkwy, Peoria, IL 61615-1825.

What is the taxonomy code for Dr. John?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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