Renes Drug Store Inc
NPI 1114095320ActiveOrganization· Pharmacy· Taylorville, IL
Pharmacy in Taylorville, Illinois, registered in NPPES in December 2006. The authorized official on file is Gordon John Mazzotti, LICENSED REGISTERED, President Chief Executive Officer.
Overview
| NPI | 1114095320 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2006 |
| Last updated in NPPES | Dec 14, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 054005099 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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