Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Ruggeri

Individual provider Pharmacist · NPI 1003417569

Amanda Ruggeri is a Pharmacist in Herrin, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
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Practice location Address checks out

1713 S Park Ave
Herrin, IL 62948-4166
Phone: (618) 942-6641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051288099 (IL)

Record details

NPI number1003417569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020
Mailing address172 Circle Dr, Herrin, IL 62948-4302

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