Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003218090 Individual Practitioner Male Practitioner

Dr. Sam B An , PharmD

Pharmacist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sam An, PharmD is a registered healthcare professional specializing in Pharmacist in Peoria, IL. Practice services are available at 311 N WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

311 N Western Ave

Peoria, IL 616045638

Telephone 3096766333
Fax 3096761928
Associated Practice Facility / Clinic
🏢 American Pharmacy Of Il Inc Facility NPI 1962239186

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Peoria, IL

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

Practicing in Peoria, 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: 2019-12-16
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051297279

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

4 Associated Practitioners
NPI 1275685141

Registered Pharmacist

NPI 1336776756

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1467504878

Registered Pharmacist

Brent Doering

Pharmacist

NPI 1477606911

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 16, 2019

Registered at 311 N WESTERN AVE, PEORIA, IL 616045638 (Tel: 3096766333)

📍
Updated Business Mailing Address December 16, 2019

Registered at 311 N WESTERN AVE, PEORIA, IL 616045638 (Tel: 3096766333)

NPI Profile Active September 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 27, 2016

Registered at 2515 N KNOXVILLE AVE, PEORIA, IL 616043621 (Tel: 3096852012)

📍
Updated Business Mailing Address September 27, 2016

Registered at 2515 N KNOXVILLE AVE, PEORIA, IL 616043621

👤
Provider Name / Credentials Updated September 27, 2016

Recorded as SAM AN, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2016

Pharmacist (License #051297279 in IL)

🟢
Initial NPI Registration & Enumeration September 22, 2014

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: 1003218090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2014
Last Update: December 16, 2019
Sole Proprietor: No

Mailing Address

311 N Western Ave

Peoria, IL 616045638

Phone: 3096766333

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.