Active NPI
Jeremy Rinne, PHARMD
- Pharmacist
- Licking, MO
National Provider Identifier
1568055846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2000175294
- Practice address
- 100 Deer Lick St
Licking, MO 65542-9081 - Phone
- (573) 674-2995
- Fax
- (573) 674-3001
- NPI assigned
- Feb 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2000175294 | MO | Primary |
Addresses
Primary practice location
100 Deer Lick St
Licking, MO 65542-9081
Mailing address
PO Box 495
Licking, MO 65542-0495
Phone (573) 674-2995
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000175294 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rinne Pharmacy LLC | Current | Accepting new patients | |
| Forbes Pharmacy LLC | Current | Accepting new patients |
Locations
100 Deer Lick St
Licking, MO 65542
Phone (573) 674-2995
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Houston, MO
- NPI 1962245712
-
- Community/Retail Pharmacy
- Licking, MO
- NPI 1689062770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1568055846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 495",
"city": "LICKING",
"state": "MO",
"postal_code": "655420495",
"telephone_number": "573-674-2995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DEER LICK ST",
"city": "LICKING",
"state": "MO",
"postal_code": "655429081",
"telephone_number": "573-674-2995",
"fax_number": "573-674-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RINNE",
"first_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-17",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2000175294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Licking, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.