Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073381281 Individual Practitioner Male Practitioner

Dr. Brockton Stotlar , PharmD

Pharmacist • Marion, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brockton Stotlar, PharmD is a registered healthcare professional specializing in Pharmacist in Marion, IL. Practice services are available at 2401 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2401 W Main St

Marion, IL 629591188

Telephone 6188896956
Associated Practice Facility / Clinic
🏢 St. Louis Jc Vamc Facility NPI 1750349429

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Marion, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Marion, IL (9983 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: 2023-12-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051.304659

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License MO 2013027406

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Michele Otto , RN

Registered Nurse

NPI 1003515420

Registered Nurse

Aaron Ruzich

Physical Therapy Assistant

NPI 1003670548
NPI 1003672486

REGISTEREDNURSE

Ray Bayer , OTR, L

Occupational Therapist

NPI 1003822917

Occupational Therapist Registered, L

NPI 1013511922

Master of Science, Doctor of Philosophy (Ph.D.), Registered Dietitian, Registered Dietitian Nutritionist

Tameeka Marvin

Registered Nurse

NPI 1013613397

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 18, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2023

Registered at 2401 W MAIN ST, MARION, IL 629591188 (Tel: 6188896956)

📍
Updated Business Mailing Address December 18, 2023

Registered at 4300 CYPRESS GROVE PL, MARION, IL 629596651 (Tel: 6188896956)

👤
Provider Name / Credentials Updated December 18, 2023

Recorded as BROCKTON STOTLAR, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2023

Pharmacist (License #2013027406 in MO)

🟢
Initial NPI Registration & Enumeration December 18, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073381281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2023
Last Update: December 18, 2023
Sole Proprietor: Yes

Mailing Address

4300 Cypress Grove Pl

Marion, IL 629596651

Phone: 6188896956

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.