Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790206365 Individual Practitioner Female Practitioner

Dr. Holly Catherine Bourgeois , PharmD

Pharmacist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Holly Bourgeois, PharmD is a registered healthcare professional specializing in Pharmacist in Peoria, IL. Practice services are available at 7717 N ORANGE PRAIRIE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7717 N Orange Prairie Rd

Peoria, IL 616159323

Telephone 3095896800
Associated Practice Facility / Clinic
🏢 Danville Vamc Facility NPI 1336197284

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: 2020-10-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR 0016023

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

35 Associated Practitioners
Shannon Dolan

Social Worker - Clinical

NPI 1003556135
Jenna Quartier , MSW, LCSW

Social Worker - Clinical

NPI 1093180036

Master of Social Work, Licensed Clinical Social Worker

Elizabeth Osborne

Technician - Attendant Care Provider

NPI 1114575602
NPI 1124744230

Licensed Social Worker

Sydney Smith

Social Worker - Clinical

NPI 1134680234
Cynthia Swigart , CFNP

Nurse Practitioner - Family

NPI 1164465449

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location October 29, 2020

Registered at 7717 N ORANGE PRAIRIE RD, PEORIA, IL 616159323 (Tel: 3095896800)

📍
Updated Business Mailing Address October 29, 2020

Registered at 7717 N ORANGE PRAIRIE RD, PEORIA, IL 616159323 (Tel: 3095896800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2020

Pharmacist (License #0016023 in OR)

📍
Updated Practice Location March 22, 2020

Registered at 19 MYRTLE ST, MEDFORD, OR 975047337 (Tel: 5417733863)

NPI Profile Active October 01, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address October 01, 2017

Registered at 1601 SW JEFFERSON AVE, CORVALLIS, OR 973318656

📍
Updated Practice Location October 01, 2017

Registered at 100 MULLINS DR STE A1, LEBANON, OR 973552868 (Tel: 5414516920)

👤
Provider Name / Credentials Updated October 01, 2017

Recorded as HOLLY BOURGEOIS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2017

Pharmacist (License #RPH-0016023 in OR)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2017

Pharmacist (License #RPH-0016023 in OR)

NPI Profile Active July 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 04, 2017

Registered at 100 MULLINS DR STE A1, LEBANON, OR 973552868 (Tel: 5414516920)

📍
Updated Business Mailing Address July 04, 2017

Registered at 1380 NW DREAM PL, CORVALLIS, OR 973302500

👤
Provider Name / Credentials Updated July 04, 2017

Recorded as HOLLY BOURGEOIS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2017

Pharmacist (License #PI-0012802 in OR)

🟢
Initial NPI Registration & Enumeration July 04, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Holly Bourgeois. Be the first to share your experience!

Sign in to leave a review for Dr. Holly Bourgeois

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1790206365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2017
Last Update: October 29, 2020
Sole Proprietor: No

Mailing Address

7717 N Orange Prairie Rd

Peoria, IL 616159323

Phone: 3095896800

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.