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Petersburg Pharmacy, Inc

Community/Retail Pharmacy in Petersburg, IL · enumerated 2006 · authorized official David Bagot, Pharmacist/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538259403

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Registry record

Entity type Organization (Type 2)
Legal business name Petersburg Pharmacy, Inc
Practice address 1 Centre Dr, Suite 100, Petersburg, IL, 62675
Fax (217) 632-7618
Enumeration date Oct 13, 2006
Last updated in NPPES Jun 2, 2015

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 054.015430 (IL) Primary

Authorized official

Name David Bagot
Title Pharmacist/Owner

Other identifiers

Identifier Type State Issuer
3574-5932 Other IL STATE ID NUMBER
120007769 Other IL MEDCO PROVIDER NUMBER
320.008365 Other IL CONTROLLED SUB LIC #
1477745 Other IL NABP NUMBER
054.015430 Other IL DIV 1 PHARMACY LICENSE

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.

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Frequently asked questions

What type of organization is Petersburg Pharmacy, Inc?
Petersburg Pharmacy, Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-06-02.