Organization Active NPI

Rinderer'S Drug Store #1

  • Community/Retail Pharmacy
  • Saint Louis, MO
National Provider Identifier
1437140282
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PS000409 Issued in MO
Legal business name
RINDERER'S DRUG STORE #1
Practice address
4447 Natural Bridge Ave
Saint Louis, MO 63115-2626
Phone
(314) 381-0501
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Matthew Jay Carlisle, R.PH.
Title
President
Phone
(636) 928-3957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PS000409 MO Primary

Addresses

Primary practice location

4447 Natural Bridge Ave
Saint Louis, MO 63115-2626

Mailing address

4447 Natural Bridge Ave
Saint Louis, MO 63115-2626
Phone (314) 381-0501

Other identifiers 1

IdentifierTypeStateIssuer
2602793OtherNCPDP

National Provider Directory

National Provider Directory
Tax ID family
Rinderer'S Drug Store 15 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4447 Natural Bridge Ave
Saint Louis, MO 63115
Phone (314) 381-0501

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437140282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4447 NATURAL BRIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152626",
            "telephone_number": "314-381-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 NATURAL BRIDGE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631152626",
            "telephone_number": "314-381-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINDERER'S DRUG STORE #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-928-3957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "PS000409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2602793",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.