Rene'S Drug Store, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RENE'S DRUG STORE, INC

Practice address

600 N Main St
Taylorville, IL 62568-1511

Phone

(217) 824-3411

Fax

(217) 824-3492

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Gordon John Mazzotti, RPH

Title

Owner President

Phone

(217) 824-3411

Specialties & licenses 1

Addresses

Other names 1

• The Pharmacy Doing business as

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609905702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681511",
            "telephone_number": "217-824-3411",
            "fax_number": "217-824-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681511",
            "telephone_number": "217-824-3411",
            "fax_number": "217-824-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENE'S DRUG STORE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZZOTTI",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "217-824-3411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward James Picone, D.C.
• Gregory R Polovich
• Amanda Dawn Prather
• Progressive Housing, Inc
• Dennis W Rabe, OD
• Renes Drug Store Inc
• Emily Repscher
• Residential Horizons Inc.
• Kristina M. Rexroad, NP
• Bryan D Rice, CRNA

• Community/Retail Pharmacy in Taylorville, IL
• Providers in Taylorville, IL by specialty
• Community/Retail Pharmacy in Illinois

• 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.