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Dale Suhrenbrock, RPH
NPI 1104109800 · Pharmacist · Wood River, IL
Dale Suhrenbrock, RPH is a Pharmacist provider in Wood River, IL (NPI 1104109800).
Provider details
- NPI number
- 1104109800
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051.031813 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1122 Vaughn Rd
Wood River, IL 62095-1848
Phone: (618) 259-2013
Fax: (618) 259-2098
Street-level locationGet directions
Mailing address
805 Chancellor Dr
Edwardsville, IL 62025-3936
Registry dates
- Enumerated
- 2011-09-20
- Last updated
- 2011-09-20
Frequently asked questions
- What is Dale Suhrenbrock's NPI number?
- Dale Suhrenbrock's National Provider Identifier (NPI) is 1104109800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dale Suhrenbrock's specialty?
- Dale Suhrenbrock is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Dale Suhrenbrock located?
- Dale Suhrenbrock's practice location on file with NPPES is 1122 Vaughn Rd, Wood River, IL 62095-1848.
- What is Dale Suhrenbrock's phone number?
- The practice phone number listed in the NPPES registry for Dale Suhrenbrock is (618) 259-2013.
- Is Dale Suhrenbrock's NPI active?
- Yes — Dale Suhrenbrock's NPI (1104109800) is active in the NPPES registry as of the last update on 2011-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.