JERRY CHRISTOPHER BUCHOLC, Pharm.D., BCGP — NPI 1770409427 (Licensed & Credentialed Pharmacist, Geriatric in MORTON, IL)

CMS-1500 Box 24J / 33a • NPI

1770409427

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835G0303X

Licensed & Credentialed Pharmacist, Geriatric

Box 32 Service Location & ZIP+4

223 MAGNOLIA AVE, MORTON, IL, 61550-1020

✓ 9-Digit EDI 837 ZIP+4 (61550-1020)

Practice Phone & Referral Fax

(309) 208-8300

Fax: (614) 384-5669

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770409427 (JERRY CHRISTOPHER BUCHOLC, Pharm.D., BCGP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1770409427` (NPI-1 Individual Practitioner)
Provider / Legal Name	JERRY CHRISTOPHER BUCHOLC, Pharm.D., BCGP
Plain-English Specialty	Licensed & Credentialed Pharmacist, Geriatric NUCC Code: `1835G0303X` (Pharmacist, Geriatric)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	223 MAGNOLIA AVE, MORTON, IL, 61550-1020
Practice Telephone / Fax	Tel: (309) 208-8300 \| Fax: (614) 384-5669
Administrative Mailing Address	223 MAGNOLIA AVE, MORTON, IL, 61550-1020
Enumeration & Last Sync	Enumerated: 2026-06-26 \| CMS Record Updated: 2026-06-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

223 MAGNOLIA AVE, MORTON, IL, 61550-1020

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Plain-English Taxonomy & CMS Crosswalk (1835G0303X)

What Does Taxonomy Code 1835G0303X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835G0303X translates to:
"Licensed & Credentialed Pharmacist, Geriatric"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Geriatric for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JERRY CHRISTOPHER BUCHOLC, Pharm.D., BCGP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: FL \| License: `PS70363` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: FL \| License: `PU10515` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: MI \| License: `5302418766` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: IN \| License: `26031901A` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: OH \| License: `03446686` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: WI \| License: `22984-40` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: KY \| License: `024739` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: MN \| License: `126962` \| Primary: Secondary
`1835G0303X` — Pharmacist, Geriatric Plain English: Licensed & Credentialed Pharmacist, Geriatric	State: IL \| License: `051.286180` \| Primary: Yes (Primary)

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JERRY CHRISTOPHER BUCHOLC, Pharm.D., BCGP (NPI #1770409427)