NPIMap

Organization Active NPI

Rinderer's Drug Store #2

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1063479897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PS0023530 Issued in MO
Legal business name
RINDERER'S DRUG STORE #2
Practice address
12141 Bellefontaine Rd
Saint Louis, MO 63138-1906
Phone
(314) 741-8700
NPI assigned
Apr 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Matthew J Carlisle, R.PH.
Title
President
Phone
(636) 928-3957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PS0023530 MO Primary

Addresses

Primary practice location

12141 Bellefontaine Rd
Saint Louis, MO 63138-1906

Mailing address

12141 Bellefontaine Rd
Saint Louis, MO 63138-1906
Phone (314) 741-8700

Other identifiers 1

IdentifierTypeStateIssuer
2602755OtherNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Rinderer's Drug Store 15 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12141 Bellefontaine Rd
Saint Louis, MO 63138
Phone (314) 741-8700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063479897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12141 BELLEFONTAINE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381906",
            "telephone_number": "314-741-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12141 BELLEFONTAINE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381906",
            "telephone_number": "314-741-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINDERER'S DRUG STORE #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-928-3957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "PS0023530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2602755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.