RENES DRUG STORE INC
NPI 1114095320
Pharmacy in Taylorville, IL

Q: What is Renes Drug Store Inc's NPI number?

The NPI number for Renes Drug Store Inc is 1114095320. It was assigned to this organization in the NPPES registry on December 4, 2006.

Q: What is Renes Drug Store Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since December 04, 2006

201 WEST MAIN CROSS, TAYLORVILLE, IL 62568(217) 824-3533(217) 824-3492 Get Directions Write a Review

NPPES record last updated: December 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Renes Drug Store Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENES DRUG STORE INC (NPI 1114095320) is a healthcare organization registered as a pharmacy in Taylorville, Illinois and active in the NPI registry since December 2006. The organization lists Gordon John Mazzotti, President Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1114095320

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameRENES DRUG STORE INC

Location Address201 WEST MAIN CROSSTaylorville, IL 62568-2247

Mailing Address201 West Main CrossTaylorville, IL 62568-2247 · (217) 824-3533 · Fax (217) 824-3492

Phone(217) 824-3533

Fax(217) 824-3492

Organization SubpartNo

Authorized OfficialGordon John MazzottiPresident Chief Executive Officer · (217) 824-3533

Enumeration DateDecember 4, 2006

Last NPPES UpdateDecember 14, 2010

✔ NPI 1114095320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 054005099

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

201 WEST MAIN CROSS, Taylorville, IL 62568

Open in Google Maps ↗

Other Identifiers 2

Medicaid=========6256801IL

Medicare NSC0300520001IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renes Drug Store Inc's NPI number?

The NPI number for Renes Drug Store Inc is 1114095320. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Renes Drug Store Inc located?

Renes Drug Store Inc is located at 201 West Main Cross, Taylorville, IL 62568. The listed phone number is (217) 824-3533.

What is Renes Drug Store Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Renes Drug Store Inc was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.