Healthcare Provider Details

I. General information

NPI: 1831255108
Provider Name (Legal Business Name): FELKER PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2006
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W BLACKHAWK DR
BYRON IL
61010-8612
US

IV. Provider business mailing address

PO BOX 474
BYRON IL
61010-0474
US

V. Phone/Fax

Practice location:
  • Phone: 815-234-5466
  • Fax: 815-234-4709
Mailing address:
  • Phone: 815-234-5466
  • Fax: 815-234-4709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number054.011485
License Number StateIL

VIII. Authorized Official

Name: THOMAS E FELKER II
Title or Position: PHARMACY DIRECTOR/PIC
Credential:
Phone: 815-262-7276