Comprehensive Bleeding Disorders Center
NPI 1457347502ActiveOrganization· Pharmacy· Peoria, IL
Pharmacy in Peoria, Illinois, registered in NPPES in September 2005. The authorized official on file is Mary L. Davis, Executive Director.
Overview
| NPI | 1457347502 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2005 |
| Last updated in NPPES | Aug 8, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 054014575 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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