Active NPI
Ronald W. Gottrich, R.PH., M.S.
- Pharmacist
- Springfield, IL
National Provider Identifier
1174557730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- Sam'S Club Pharmacy 8215
2300 White Oaks Drive
Springfield, IL 62704 - Phone
- (217) 698-5938
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Primary |
Addresses
Primary practice location
Sam'S Club Pharmacy 8215
2300 White Oaks Drive
Springfield, IL 62704
Mailing address
25 Bellerive Rd
Springfield, IL 62704-6800
Phone (217) 698-5938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051031600 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174557730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BELLERIVE RD",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627046800",
"telephone_number": "217-698-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAM'S CLUB PHARMACY 8215",
"address_2": "2300 WHITE OAKS DRIVE",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "62704",
"telephone_number": "217-698-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTRICH",
"first_name": "RONALD",
"middle_name": "W.",
"credential": "R.PH., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.