OrganizationActive
Dolan Central Illinois Compounding LLC
NPI 1093883290 · Compounding Pharmacy · Peoria, IL
Dolan Central Illinois Compounding LLC is a Compounding Pharmacy organization in Peoria, IL (NPI 1093883290).
Provider details
- NPI number
- 1093883290
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Corey Dolan, Pharmacist(309) 679-2047
- License
- 054.020600 (IL)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5832 N Knoxville Ave Ste E
Peoria, IL 61614-4304
Phone: (309) 679-2047
Fax: (309) 679-2051
Street-level locationGet directions
Mailing address
5832 N Knoxville Ave Ste E
Peoria, IL 61614-4304
Other names (DBA / former)
- Doing business as
- Preckshot Professional Pharmacy
- Doing business as
- Preckshot Professional Pharmacy
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2025-09-19
Frequently asked questions
- What is Dolan Central Illinois Compounding LLC's NPI number?
- Dolan Central Illinois Compounding LLC's National Provider Identifier (NPI) is 1093883290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dolan Central Illinois Compounding LLC?
- Dolan Central Illinois Compounding LLC is classified in the NPPES registry as Compounding Pharmacy (Suppliers).
- Where is Dolan Central Illinois Compounding LLC located?
- Dolan Central Illinois Compounding LLC's practice location on file with NPPES is 5832 N Knoxville Ave Ste E, Peoria, IL 61614-4304.
- What is Dolan Central Illinois Compounding LLC's phone number?
- The practice phone number listed in the NPPES registry for Dolan Central Illinois Compounding LLC is (309) 679-2047.
- Who is the authorized official for Dolan Central Illinois Compounding LLC?
- The authorized official listed on Dolan Central Illinois Compounding LLC's NPPES record is Corey Dolan, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dolan Central Illinois Compounding LLC's NPI active?
- Yes — Dolan Central Illinois Compounding LLC's NPI (1093883290) is active in the NPPES registry as of the last update on 2025-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.