Active NPI
Kailee Reinacher
- Pharmacist
- Murphysboro, IL
National Provider Identifier
1225749591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.305246
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 051.305246 | IL | MD | Pharmacist |
| 023176 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| TLC Immunization Clinic LLC | Past | 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.
-
- Community/Retail Pharmacy
- Newport, KY
- NPI 1104791078
-
- Family Nurse Practitioner
- Louisville, KY
- NPI 1982620050
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.