VERNON ANDERSEN INC NPI 1407867906

NPI Information

  • NPI: 1407867906
  • Provider Name: VERNON ANDERSEN INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDICINE SHOPPE PHARMACY
  • Address: 341 W BETHALTO DR
    BETHALTO, IL
    ZIP 62010
  • Phone: (618) 377-5356

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NPI Details

VERNON ANDERSEN INC is a community/retail pharmacy pharmacy in Bethalto, IL. The provider is 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. VERNON ANDERSEN INC NPI is 1407867906. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Shoppe Pharmacy.

The provider's business location address is:

341 W BETHALTO DR
BETHALTO, IL
ZIP 62010-779
Phone: (618) 377-5356
Fax: (618) 377-0159

The provider's authorized official is Vernon Eugene Andersen .
The authorized official title is President and has the following contact phone number (618) 377-5356.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy054014647ILLINOISNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1364151335001MEDICAIDILLINOIS
21467631OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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