Andrea C Redell, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.040073 Issued in IL

Practice address

201 S Main St
East Peoria, IL 61611-2458

Phone

(309) 694-6451

Fax

(309) 694-6453

NPI assigned

Nov 21, 2019

Last updated

Nov 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • East Peoria, IL
  • NPI 1275606899
  NPD (past)
• Kroger Limited Partnership I

  dba Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1316583594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 EDGEWATER DR",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615547828",
            "telephone_number": "309-694-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112458",
            "telephone_number": "309-694-6451",
            "fax_number": "309-694-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDELL",
        "first_name": "ANDREA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.040073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Housing (Briarbrook Place)
• Progressive Housing, Inc. (Harris Place)
• Ben Rasamimari, OD
• Realhealth Advanced Care SC
• Jennifer Lee Reay, RD, LDN
• Devan Marie Reed
• Nicole J Reese, BSW
• Rehabtech Inc
• Jiaying Ren, DMD
• Amy Rennie

• Pharmacist in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.