Active NPI
Rinderer's Home Health Care Pharmacy
- Community/Retail Pharmacy
- Bethalto, IL
National Provider Identifier
1861458812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2020
- 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
- Mr. Matthew Jay Carlisle, R.PH.
- Title
- President
- Phone
- (636) 928-3957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4308213905 | Medicaid | IL | |
| 1430951 | Other | NCPDP |
National Provider Directory
National Provider DirectoryLocations
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.