Individual provider Active NPI

Duane E Kremer, R.PH.

  • Pharmacist
  • Teutopolis, IL
National Provider Identifier
1255911632
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051286657 Issued in IL
Practice address
206A N Pearl St
Teutopolis, IL 62467-1134
Phone
(217) 857-3000
Fax
(217) 857-3008
NPI assigned
Apr 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051286657 IL Primary

Addresses

Primary practice location

206A N Pearl St
Teutopolis, IL 62467-1134

Mailing address

PO Box 275
Teutopolis, IL 62467-0275
Phone (217) 857-3000

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

LicenseStateTypeSpecialty
051286657ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Kremer Pharmacy Inc. CurrentSince Oct 9, 2022 Accepting new patients
Kremer Pharmacy Inc PastSince Apr 20, 2021 Accepting new patients
Kremer Pharmacy Inc. PastSince Apr 20, 2021 Accepting new patients

Locations

12 N 3rd St
Altamont, IL 62411
Phone (618) 483-5100

Organizations & group practices 3

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": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1255911632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624670275",
            "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": {
        "last_name": "KREMER",
        "first_name": "DUANE",
        "middle_name": "E",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051286657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teutopolis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; 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.