Active NPI
Anne Cisar Rudd
- Pharmacist
- Belvidere, IL
National Provider Identifier
1184058430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051035939
- Practice address
- 500 W Chrysler Dr
Belvidere, IL 61008-6034 - Phone
- (815) 544-6541
- NPI assigned
- Aug 22, 2013
- Last updated
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 051035939 | IL | Primary |
Addresses
Primary practice location
500 W Chrysler Dr
Belvidere, IL 61008-6034
Mailing address
1670 Southridge TRL
Algonquin, IL 60102-6608
Phone (847) 800-7833
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051035939 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1184058430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 SOUTHRIDGE TRL",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601026608",
"telephone_number": "847-800-7833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W CHRYSLER DR",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610086034",
"telephone_number": "815-544-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "ANNE",
"middle_name": "CISAR",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051035939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
- Lindsey Rockwell
- Isabella Renae Rogers
- Rosecrance, Inc. (Rosecrance Belvidere)
- Rosecrance, Inc. (Rosecrance Belvidere)
- Rosin Optical Co., Inc. (Family Optical Centre)
- Istref Sam Sabani, RPH
- Saint Anthony Medical Center (OSFMG - Belvidere Office)
- Jose Sanchez Gomez
- Alexandra Sandager, MSAT, LAT, ATC
- William Sandoval, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.