Sally Anne Van Rheeden, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051038699 Issued in IL

Practice address

2300 W White Oaks Dr
Springfield, IL 62704-6423

Phone

(217) 698-5938

Fax

(217) 698-6427

NPI assigned

Nov 11, 2020

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

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1407458722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W WHITE OAKS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046423",
            "telephone_number": "217-698-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W WHITE OAKS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046423",
            "telephone_number": "217-698-5938",
            "fax_number": "217-698-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RHEEDEN",
        "first_name": "SALLY",
        "middle_name": "ANNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051038699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Michael Valenti, O.D.
• Kristine Valenti
• Robin Barry Valenti, OD
• Sean Paul Valenti, D.C.
• Abigail Valtierra, LCSW
• Maryann Oyinkeprebi Van Ryn
• Stephanie Ann Van Ulft, M. D.
• Brenda Vance, LPC
• Melinda M. Vance, FNP-BC
• Gary Vandekerckhove, D.D.S

• Pharmacist in Springfield, IL
• Providers in Springfield, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.