Active NPI
Rinne Pharmacy LLC
Doing business as Rinne Pharmacy
- Community/Retail Pharmacy
- Licking, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2014043698
- Legal business name
- RINNE PHARMACY LLC
- Doing business as
- Rinne Pharmacy
- Practice address
- 100 Deer Lick St
Licking, MO 65542-9081 - Phone
- (573) 674-2995
- Fax
- (573) 674-3001
- NPI assigned
- Dec 26, 2014
- Last updated
- Apr 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy Rinne, PHARMD
- Title
- Owner/Pic
- Phone
- (417) 350-4619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 2014043698 | MO | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600019101 | Medicaid | MO | |
| 2148776 | Other | PK |
Other names 1
- Rinne Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170809000359 | MO | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416228432 | Practice locations: Licking, MO |
| O20170921002997 | MO | DME Supplier - Pharmacy | 7416228432 | Practice locations: Licking, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Rinne Pharmacy | Immunosuppressive Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
100 Deer Lick St
Licking, MO 65542
Phone (573) 674-2995
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Licking, MO
- NPI 1568055846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461024000000",
"number": "1689062770",
"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",
"fax_number": "573-674-3001"
},
{
"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": {
"organization_name": "RINNE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-26",
"last_updated": "2016-04-19",
"status": "A",
"authorized_official_last_name": "RINNE",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "OWNER/PIC",
"authorized_official_telephone_number": "417-350-4619",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MO",
"license": "2014043698",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600019101",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2148776",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rinne Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Licking, MO
- Mercy Hospital Springfield (Mercy Pharmacy-Licking)
- Linda S Milholen, MD
- Next Generation Taxi LLC
- Arlene J O'Brien, LPC
- Melinda Mae Poland, M.S., CCC/SLP
- Jeremy Rinne, PHARMD
- Jessica Lynne Schwarz, LPC
- St. John's Physician & Clinic (St. John's Sisk Pharmacy)
- Marley Ann Stephan, FNP
- Texas County Memorial Hospital (TCMH Family Clinic - Licking)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.