Kremer Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054017940 Issued in IL

Legal business name

KREMER PHARMACY INC

Doing business as

Kremer Pharmacy

Practice address

206A N Pearl St
Teutopolis, IL 62467-1134

Phone

(217) 857-3000

Fax

(217) 857-3008

NPI assigned

Jul 24, 2012

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Duane KremerNPI 1255911632

Title

Pharmacist/Owner

Phone

(217) 343-4633

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Kremer Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kremer Pharmacy Inc.

  • Community/Retail Pharmacy
  • Altamont, IL
  • NPI 1326585605

  1658525522

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kremer Pharmacy Inc.

  • Community/Retail Pharmacy
  • Altamont, IL
  • NPI 1326585605

  O20130130000049

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Kremer Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Kremer Pharmacy Inc.

  • Community/Retail Pharmacy
  • Altamont, IL
  • NPI 1326585605
  NPD tax ID
• Kremer Pharmacy Inc.

  dba Kremer Pharmacy Altamont LTC

  • Long Term Care Pharmacy
  • Altamont, IL
  • NPI 1598489510
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duane E Kremer, R.PH.

  • Pharmacist
  • Teutopolis, IL
  • NPI 1255911632
  NPD (past) Authorized official

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1235484551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206A N PEARL ST",
            "address_2": "PO BOX 275",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671134",
            "telephone_number": "217-857-3000",
            "fax_number": "217-857-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206A N PEARL ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671134",
            "telephone_number": "217-857-3000",
            "fax_number": "217-857-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREMER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "KREMER",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "217-343-4633"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054017940",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IL",
            "license": "054017940",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136076",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kremer Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernard H Habing, FNP
• Melissa Sue Habing, SSP
• Erin Hardiek, M.S. CCC- SLP
• Patricia Ann Hooper, MED
• Haley Kreke, OTR/L
• Duane E Kremer, R.PH.
• Marcella N. Kruger, NP
• Traci Kristine Martin, MS CCC-SLP
• Becky L McGinnis, APN, CNP
• Kari McManaway

• Community/Retail Pharmacy in Teutopolis, IL
• Providers in Teutopolis, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.