Individual provider Active NPI

Kailee Reinacher

  • Pharmacist
  • Murphysboro, IL
National Provider Identifier
1225749591
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051.305246 Issued in IL
Practice address
550 E Industrial Park Rd
Murphysboro, IL 62966-3947
Phone
(618) 687-9454
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 023176 KY
Pharmacist 183500000X 051.305246 IL Primary

Addresses

Primary practice location

550 E Industrial Park Rd
Murphysboro, IL 62966-3947

Mailing address

550 E Industrial Park Rd
Murphysboro, IL 62966-3947
Phone (618) 687-9454

Other practice location 1

1704 W DeYoung St
Marion, IL 62959-1054
Phone (618) 993-6518

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kroger THE KROGER CO

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

State licenses

LicenseStateTypeSpecialty
051.305246ILMDPharmacist
023176KYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I Past Accepting new patients
TLC Immunization Clinic LLC PastSince Dec 13, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1225749591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E INDUSTRIAL PARK RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629663947",
            "telephone_number": "618-687-9454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E INDUSTRIAL PARK RD",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629663947",
            "telephone_number": "618-687-9454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1704 W DeYoung St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629591054",
            "country_code": "US",
            "telephone_number": "618-993-6518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINACHER",
        "first_name": "KAILEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "023176",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.305246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kroger",
            "affiliation": "Y",
            "affiliationName": "THE KROGER CO",
            "address_1": "550 E Industrial Park Rd",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629663947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.