Active NPI
James Edward Kinscherff, R.PH.
- Pharmacist
- Freeport, IL
National Provider Identifier
1053448944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12115
- Practice address
- 1512 S West Ave
Freeport, IL 61032-6702 - Phone
- (815) 297-0881
- Fax
- (816) 297-0972
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12115 | WI | Primary |
| Pharmacist | 183500000X | IL |
Addresses
Primary practice location
1512 S West Ave
Freeport, IL 61032-6702
Mailing address
1512 S West Ave
Freeport, IL 61032-6702
Phone (815) 297-0881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-031033 | IL | MD | Pharmacist |
| 12115 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Burnsville, MN
- NPI 1093517914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1053448944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 S WEST AVE",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326702",
"telephone_number": "815-297-0881",
"fax_number": "815-297-0972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 S WEST AVE",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326702",
"telephone_number": "815-297-0881",
"fax_number": "816-297-0972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSCHERFF",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "12115",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.