Pavilion Pharmacy West
Pavilion Pharmacy West is a healthcare organization registered as Pharmacist in Springfield, IL, holding Type 2 (organization) NPI 1063483451 since 2006. The authorized official on file is Quin Hostetler, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063483451 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pavilion Pharmacy West |
| Practice address | 2901 OLD JACKSONVILLE RD, Springfield, IL, 62704 |
| Phone | 2176983888 |
| Fax | 2176987649 |
| Enumeration date | 2006-02-01 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Quin Hostetler |
|---|---|
| Title | Manager |
| Phone | 2176983888 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | — | IL |
Copy-ready billing details
Provider: Pavilion Pharmacy West NPI: 1063483451 Taxonomy: 183500000X (Pharmacist) Address: 2901 OLD JACKSONVILLE RD, Springfield, IL, 62704
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467441550 | Julio Vijil | Individual | Surgery Physician | Springfield, IL |
| 1144287020 | John Fahey | Individual | Occupational Medicine Physician | Springfield, IL |
| 1699728584 | Mukteshwar Mehra | Individual | Neurology Physician | Springfield, IL |
| 1144269531 | Ingrid Alexander | Individual | Allergy & Immunology Physician | Springfield, IL |
| 1275565988 | Physicians Group Associates S C | Organization | Internal Medicine Physician | Springfield, IL |
| 1841216975 | Physicians Group Associates S C | Organization | Nurse Practitioner | Springfield, IL |
| 1568471274 | David Beatty | Individual | Family Medicine Physician | Springfield, IL |
| 1982613345 | Marilee Harvey Cramer | Individual | Nurse Practitioner | Springfield, IL |
Verify this record
Cross-check NPI 1063483451 against the authoritative CMS record: view Pavilion Pharmacy West on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Pavilion Pharmacy West?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.