IndividualActive
Vernon Andersen, RPH
NPI 1124340385 · Pharmacist · Bethalto, IL
Provider details
- NPI number
- 1124340385
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 051.029523 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
341 W Bethalto Dr
Bethalto, IL 62010-1779
Phone: (618) 377-5356
Fax: (618) 377-0159
Street-level locationGet directions
Mailing address
341 W Bethalto Dr
Bethalto, IL 62010-1779
Registry dates
- Enumerated
- 2010-02-15
- Last updated
- 2010-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.