OrganizationActive
Vernon Andersen Inc
NPI 1407867906 · Community/Retail Pharmacy · Bethalto, IL
Provider details
- NPI number
- 1407867906
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Vernon Andersen, President(618) 377-5356
- License
- 054014647 (IL)
Specialties & taxonomies
Suppliers
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
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
Other names (DBA / former)
- Doing business as
- Medicine Shoppe Pharmacy
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.