IndividualActive
Shane Peck, PHARMD
NPI 1710587175 · Pharmacist · Anna, IL
Shane Peck, PHARMD is a Pharmacist provider in Anna, IL (NPI 1710587175).
Provider details
- NPI number
- 1710587175
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051299014 (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
300 Leigh Ave
Anna, IL 62906-2213
Phone: (618) 833-8580
Street-level locationGet directions
Mailing address
175 Tollgate Rd
Anna, IL 62906-5400
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Frequently asked questions
- What is Shane Peck's NPI number?
- Shane Peck's National Provider Identifier (NPI) is 1710587175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Peck's specialty?
- Shane Peck is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Shane Peck located?
- Shane Peck's practice location on file with NPPES is 300 Leigh Ave, Anna, IL 62906-2213.
- What is Shane Peck's phone number?
- The practice phone number listed in the NPPES registry for Shane Peck is (618) 833-8580.
- Is Shane Peck's NPI active?
- Yes — Shane Peck's NPI (1710587175) is active in the NPPES registry as of the last update on 2020-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.