Extended Pharmacy LLC
NPI 1700014446 · Long Term Care Pharmacy · Peoria, IL
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Extended Pharmacy LLC is a Long Term Care Pharmacy organization in Peoria, IL (NPI 1700014446).
Provider details
- NPI number
- 1700014446
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Eric Spires, Manager(309) 676-4831
- License
- 64002202A (IN)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
51 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 51 | $31 |
Typical Medicare-allowed amounts for these services range $31–$31 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Extended Pharmacy LLC
Registry dates
- Enumerated
- 2009-07-01
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Frequently asked questions
- What is Extended Pharmacy LLC's NPI number?
- Extended Pharmacy LLC's National Provider Identifier (NPI) is 1700014446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extended Pharmacy LLC?
- Extended Pharmacy LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Extended Pharmacy LLC located?
- Extended Pharmacy LLC's practice location on file with NPPES is 121 State St Ste 1a, Peoria, IL 61602-1547.
- What is Extended Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Extended Pharmacy LLC is (309) 676-4831.
- Does Extended Pharmacy LLC accept Medicare?
- Extended Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Extended Pharmacy LLC?
- The authorized official listed on Extended Pharmacy LLC's NPPES record is Eric Spires, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extended Pharmacy LLC's NPI active?
- Yes — Extended Pharmacy LLC's NPI (1700014446) is active in the NPPES registry as of the last update on 2023-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.