Active NPI
Redneb Inc
Doing business as Bender's Prescription Shop
- Community/Retail Pharmacy
- Saint Joseph, MO
National Provider Identifier
1376530212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 006507
- Legal business name
- REDNEB INC
- Doing business as
- Bender's Prescription Shop
- Practice address
- 3829 Frederick Ave
Saint Joseph, MO 64506-3020 - Phone
- (816) 279-1668
- Fax
- (816) 279-6425
- NPI assigned
- Oct 5, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gary Schermerhorn
- Title
- Owner
- Phone
- (816) 279-1668
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 431864092 | MO | |
| Community/Retail Pharmacy | 3336C0003X | 006507 | MO | Primary |
Addresses
Primary practice location
3829 Frederick Ave
Saint Joseph, MO 64506-3020
Mailing address
PO Box 8113
Saint Joseph, MO 64508-8113
Phone (816) 279-1668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600308605 | Medicaid | MO | |
| 620308601 | Medicaid | MO |
Other names 1
- Bender's Prescription Shop
National Provider Directory
National Provider DirectoryLocations
3829 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 279-1668
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Saint Joseph, MO
- NPI 1013904630
-
- Pharmacist
- Saint Joseph, MO
- NPI 1992012223
-
- Certified Respiratory Therapist
- Saint Joseph, MO
- NPI 1265429104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432857600000",
"number": "1376530212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8113",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645088113",
"telephone_number": "816-279-1668",
"fax_number": "816-279-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3829 FREDERICK AVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063020",
"telephone_number": "816-279-1668",
"fax_number": "816-279-6425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDNEB INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-05",
"last_updated": "2015-05-29",
"status": "A",
"authorized_official_last_name": "SCHERMERHORN",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-279-1668",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MO",
"license": "431864092",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "006507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600308605",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620308601",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bender's Prescription Shop",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.