RENE'S DRUG STORE, INC (NPI# 1609905702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609905702 |
| Entity Type | Organization |
| Organization Name | RENE'S DRUG STORE, INC |
| Other Organization Name | THE PHARMACY |
| Practice Address |
600 N Main St Taylorville IL 62568-1511 |
| Practice Telephone | 2178243411 |
| Practice Fax Number | 2178243492 |
| Mailing Telephone | 2178243411 |
| Mailing Fax Number | 2178243492 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GORDON JOHN MAZZOTTI (OWNER PRESIDENT) |
| Authorized Official Telephone | 2178243411 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| The Pharmacy | Doing Business As Name - Organization |
| Street Address |
600 N MAIN ST |
| City | TAYLORVILLE |
| State | IL |
| Zip Code | 62568-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447790 | Heather R Rice | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568-1668 | 2019-10-02 |
| 1417510397 | Lauren A. Henton | Social Worker | 600 N Main St, Taylorville, IL 62568-1668 | 2019-04-17 |
| 1699269654 | Brenda M. Hemann | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568 | 2018-06-21 |
| 1255859260 | Kelsie A. Tobias | Social Worker | 600 N Main St, Taylorville, IL 62568-1668 | 2017-08-30 |
| 1154867034 | Megan A. Winters | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568-1668 | 2017-01-16 |
| 1497006324 | Amanda Dawn Prather | Social Worker | 600 N Main St, Taylorville, IL 62568-1668 | 2012-10-02 |
| 1912263963 | Kristina M. Rexroad | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568-1668 | 2012-04-04 |
| 1548560089 | Rosemary L. Herzberger | Nurse Practitioner | 600 N Main St, Taylorville, IL 62568 | 2010-11-01 |
| 1740591619 | Jennifer Marie Deluka | Pediatrics | 600 N Main St, Taylorville, IL 62568-1668 | 2010-06-25 |
| 1033372396 | Patricia A. Schneider | Registered Nurse | 600 N Main St, Taylorville, IL 62568-1511 | 2008-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
| 1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
| 1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
| 1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
| 1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
| 1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
| 1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
| 1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
| Find all providers in zip 62568 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORVILLE |
| Zip Code | 62568 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.