OrganizationActive
Renes Drug Store Inc
NPI 1114095320 · Pharmacy · Taylorville, IL
Renes Drug Store Inc is a Pharmacy organization in Taylorville, IL (NPI 1114095320).
Provider details
- NPI number
- 1114095320
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gordon Mazzotti, President Chief Executive Officer(217) 824-3533
- License
- 054005099 (IL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
201 West Main Cross
Taylorville, IL 62568-2247
Phone: (217) 824-3533
Fax: (217) 824-3492
Street-level locationGet directions
Mailing address
201 West Main Cross
Taylorville, IL 62568-2247
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2010-12-14
Frequently asked questions
- What is Renes Drug Store Inc's NPI number?
- Renes Drug Store Inc's National Provider Identifier (NPI) is 1114095320, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renes Drug Store Inc?
- Renes Drug Store Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Renes Drug Store Inc located?
- Renes Drug Store Inc's practice location on file with NPPES is 201 West Main Cross, Taylorville, IL 62568-2247.
- What is Renes Drug Store Inc's phone number?
- The practice phone number listed in the NPPES registry for Renes Drug Store Inc is (217) 824-3533.
- Who is the authorized official for Renes Drug Store Inc?
- The authorized official listed on Renes Drug Store Inc's NPPES record is Gordon Mazzotti, President Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renes Drug Store Inc's NPI active?
- Yes — Renes Drug Store Inc's NPI (1114095320) is active in the NPPES registry as of the last update on 2010-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.