IndividualActive
Coreliss Blue, PHARMD
NPI 1366045692 · Pharmacist · Normal, IL
Coreliss Blue, PHARMD is a Pharmacist provider in Normal, IL (NPI 1366045692).
Provider details
- NPI number
- 1366045692
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 051300484 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2151 Shepard Rd
Normal, IL 61761-6414
Phone: (309) 454-5478
Street-level locationGet directions
Mailing address
2151 Shepard Rd
Normal, IL 61761-6414
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2020-11-19
- Certified
- 2020-11-16
Frequently asked questions
- What is Coreliss Blue's NPI number?
- Coreliss Blue's National Provider Identifier (NPI) is 1366045692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Coreliss Blue's specialty?
- Coreliss Blue is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Coreliss Blue located?
- Coreliss Blue's practice location on file with NPPES is 2151 Shepard Rd, Normal, IL 61761-6414.
- What is Coreliss Blue's phone number?
- The practice phone number listed in the NPPES registry for Coreliss Blue is (309) 454-5478.
- Is Coreliss Blue's NPI active?
- Yes — Coreliss Blue's NPI (1366045692) is active in the NPPES registry as of the last update on 2020-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.