Illini Pharmacy Services Llc
Long Term Care Pharmacy
675 W Imboden Dr, Decatur
Illinois, 62521-9068
217-791-6340 217-791-6568
Illini Pharmacy Services Llc is not a DME supplier for medicare equipments and products.
Illini Pharmacy Services Llc is a Long Term Care Pharmacy in Decatur, Illinois. It is located at 675 W Imboden Dr, Decatur and it's customer support contact number is 217-791-6340. The authorized person of Illini Pharmacy Services Llc is Darrin Shasteen, BS PHARMACY who is Owner of the pharmacy and his contact number is 217-791-6340. Active license number of Illini Pharmacy Services Llc is 054.017565 for Long Term Care Pharmacy in Illinois.
Illini Pharmacy Services Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Illini Pharmacy Services Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Illini Pharmacy Services Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 675 W Imboden Dr, Decatur, Illinois, 62521-9068 |
| Phone: | 217-791-6340 |
| Fax: | 217-791-6568 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Darrin Shasteen |
| Credentials: | BS PHARMACY |
| Position: | Owner |
| Contact Number: | 217-791-6340 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1205146917 |
| NPI Enumeration Date: | 15 Oct, 2010 |
| NPI Last Update On: | 21 Feb, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Illini Pharmacy Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 054.017565 | Illinois | Primary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2127198 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 675 W Imboden Dr, Decatur, Illinois |
| Zip: | 62521-9068 |
| Phone Number: | 217-791-6340 |
| Fax Number: | 217-791-6568 |
Patients can reach Illini Pharmacy Services Llc at
675 W Imboden Dr, Decatur, Illinois or can
call on customer care at 217-791-6340.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.