Active NPI
Anthony Riemann
- Pharmacist
- Saint Clair, MO
National Provider Identifier
1740877349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2016027753
- Practice address
- 920 Plaza Dr Ste H
Saint Clair, MO 63077-1137 - Phone
- (636) 629-2022
- NPI assigned
- Dec 29, 2020
- Last updated
- Dec 29, 2020
- 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 | 2016027753 | MO | Primary |
Addresses
Primary practice location
920 Plaza Dr Ste H
Saint Clair, MO 63077-1137
Mailing address
920 Plaza Dr Ste H
Saint Clair, MO 63077-1137
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016027753 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kiko Enterprises, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Medicine Shoppe Pharmacy
- Community/Retail Pharmacy
- Saint Clair, MO
- NPI 1821162280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1740877349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 PLAZA DR STE H",
"city": "SAINT CLAIR",
"state": "MO",
"postal_code": "630771137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 PLAZA DR STE H",
"city": "SAINT CLAIR",
"state": "MO",
"postal_code": "630771137",
"telephone_number": "636-629-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEMANN",
"first_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-29",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2016027753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.