DALE SUHRENBROCK (RPH) – Pharmacist, NPI 1104109800

DALE SUHRENBROCK (RPH) is a healthcare provider. based in Edwardsville, Illinois. specializing in Pharmacist. They hold the professional credentials RPH. They hold a License No. 051.031813 (IL). The NPI Number for DALE SUHRENBROCK (RPH) is 1104109800

Main info

Male
Sole Proprietor
Name
DALE SUHRENBROCK (RPH)
NPI
1104109800
Phone
(618) 830-0668
Address
805 CHANCELLOR DR
Enumeration Date
20 September 2011
Last Update Date
20 September 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

Provider Addresses for DALE SUHRENBROCK (RPH)

  • 805 CHANCELLOR DR

    EDWARDSVILLE, IL 620253936

    Phone: (618) 830-0668

    Type: Mailing

  • 1122 VAUGHN RD

    WOOD RIVER, IL 620951848

    Phone: (618) 259-2013

    Fax: (618) 259-2098

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62025)

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Reviews

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Frequently asked questions

What unique ID ties claims to DALE SUHRENBROCK (RPH)?
NPI 1104109800 is assigned to DALE SUHRENBROCK (RPH) under the national enumeration system.
Is DALE SUHRENBROCK (RPH)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DALE SUHRENBROCK (RPH) work in?
You can think of DALE SUHRENBROCK (RPH) as practicing within Pharmacist. Clinical services aligned with this taxonomy classification.
Where is DALE SUHRENBROCK (RPH)'s primary listing?
We display Edwardsville, Illinois because that is what the record indicates for DALE SUHRENBROCK (RPH).
What if Edwardsville, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.