Healthcare Provider Details

I. General information

NPI: 1730783986
Provider Name (Legal Business Name): KRISTEN NICOLE DOWNS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEN MEINERS PHARMD

II. Dates (important events)

Enumeration Date: 11/29/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E STATE ST
NOKOMIS IL
62075-1340
US

IV. Provider business mailing address

110 E STATE ST
NOKOMIS IL
62075-1340
US

V. Phone/Fax

Practice location:
  • Phone: 217-563-8346
  • Fax:
Mailing address:
  • Phone: 217-563-8346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051301032
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: