Organization Active NPI

Rinderer's Home Health Care Pharmacy

  • Community/Retail Pharmacy
  • Bethalto, IL
National Provider Identifier
1861458812
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RINDERER'S HOME HEALTH CARE PHARMACY
Practice address
68 N Bellwood Rd
Bethalto, IL 62010-1794
Phone
(618) 377-2151
Fax
(618) 377-7966
NPI assigned
Apr 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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 IL Primary

Addresses

Primary practice location

68 N Bellwood Rd
Bethalto, IL 62010-1794

Mailing address

68 N Bellwood Rd
Bethalto, IL 62010-1794
Phone (618) 377-2151

Other identifiers 2

IdentifierTypeStateIssuer
4308213905MedicaidIL
1430951OtherNCPDP

National Provider Directory

National Provider Directory

Locations

68 N Bellwood Rd
Bethalto, IL 62010
Phone (618) 377-2151

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861458812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 N BELLWOOD RD",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101794",
            "telephone_number": "618-377-2151",
            "fax_number": "618-377-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N BELLWOOD RD",
            "city": "BETHALTO",
            "state": "IL",
            "postal_code": "620101794",
            "telephone_number": "618-377-2151",
            "fax_number": "618-377-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINDERER'S HOME HEALTH CARE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "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": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4308213905",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1430951",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethalto, IL

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.