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Active NPI 1104569268 Individual Practitioner Male Practitioner

Daniel Wilder , CPHT

Pharmacy Technician • East Peoria, IL

Professional Overview & Biography Verified Profile Summary

Daniel Wilder, CPHT is a registered healthcare professional specializing in Pharmacy Technician in East Peoria, IL. Practice services are available at 300 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 N Main St

East Peoria, IL 616112081

Telephone 3096947661
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1447265624

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy Technician in East Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in East Peoria, IL (266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-04
Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

State License IL 049.278851

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1013293067

Registered Pharmacist

NPI 1063795482

Doctor of Pharmacy (Pharm.D.)

Dr. Jeremy Rutherford , PharmD

Pharmacist - Geriatric

NPI 1063796621

Doctor of Pharmacy (Pharm.D.)

NPI 1124644273
NPI 1306121256

Doctor of Pharmacy (Pharm.D.)

NPI 1326522665

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address February 04, 2025

Registered at 1011 PEORIA ST, WASHINGTON, IL 615712487 (Tel: 3094441681)

📍
Updated Business Mailing Address May 27, 2022

Registered at 300 N MAIN ST, EAST PEORIA, IL 616112081 (Tel: 3096947661)

NPI Profile Active April 18, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2022

Registered at 300 N MAIN ST, EAST PEORIA, IL 616112081 (Tel: 3096947661)

📍
Updated Business Mailing Address April 18, 2022

Registered at 407 S 7TH ST, PEKIN, IL 615544703 (Tel: 3098856717)

👤
Provider Name / Credentials Updated April 18, 2022

Recorded as DANIEL WILDER, CPHT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2022

Pharmacy Technician (License #049.278851 in IL)

🟢
Initial NPI Registration & Enumeration April 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104569268
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2022
Last Update: February 04, 2025
Sole Proprietor: Yes

Mailing Address

1011 Peoria St

Washington, IL 615712487

Phone: 3094441681

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.