Organization Active NPI

Redneb Inc

Doing business as Bender's Prescription Shop

  • Community/Retail Pharmacy
  • Saint Joseph, MO
National Provider Identifier
1376530212
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
006507 Issued in MO
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

Updated by the provider on May 29, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
600308605MedicaidMO
620308601MedicaidMO

Other names 1

  • Bender's Prescription Shop Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.