Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ANTONACCI INC
Active
Organization
ANTONACCI INC
Active
Other names
MEDICINE STOP OF PEORIA
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ANTONACCI RPH (PHARMACIST AND PRESIDENT)
(309) 685-5939
Entity
Organization
Contact information
Practice address
4410 N KNOXVILLE AVE, STE A, PEORIA, IL 61614-6086
(309) 685-5939
(309) 685-5930
Mailing address
4410 N KNOXVILLE AVE, STE A, PEORIA, IL 61614-6086
(309) 685-5939
(309) 685-5930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
054009135
IL
3336C0004X
Compounding Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1454545
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/30/2007
Last updated
04/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers