Individual provider Active NPI

Rebecca Reckmann

  • Pharmacist
  • Belleville, IL
National Provider Identifier
1326389727
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051296186 Issued in IL
Practice address
4609 W Main St
Belleville, IL 62226-5208
Phone
(618) 355-4851
NPI assigned
Mar 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051296186 IL Primary
Pharmacist 183500000X 2012026478 MO

Addresses

Primary practice location

4609 W Main St
Belleville, IL 62226-5208

Mailing address

4609 W Main St
Belleville, IL 62226-5208
Phone (618) 355-4851

Other practice location 1

11481 Olive Blvd
Saint Louis, MO 63141-7184
Phone (314) 432-5708

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CVS.com

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

LicenseStateTypeSpecialty
051296186ILMDPharmacist
2012026478MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1326389727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265208",
            "telephone_number": "618-355-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265208",
            "telephone_number": "618-355-4851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11481 Olive Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631417184",
            "country_code": "US",
            "telephone_number": "314-432-5708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECKMANN",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-09",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051296186",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2012026478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CVS.com",
            "affiliation": "N",
            "address_1": "4609 W Main St",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.