NPIMap

Organization Active NPI

Groceries of Southern Illinois LLC

  • Community/Retail Pharmacy
  • Smithton, IL
National Provider Identifier
1326419912
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GROCERIES OF SOUTHERN ILLINOIS LLC
Practice address
3981 State Route 159
Smithton, IL 62285
Phone
(618) 207-3186
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Meghan Heuring, PHARM D
Title
Director of Pharmacy
Phone
(618) 539-3164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X IL Primary

Addresses

Primary practice location

3981 State Route 159
Smithton, IL 62285

Mailing address

3981 State Route 159
Smithton, IL 62285
Phone (618) 207-3186

Other names 1

  • Smithton Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220810002484 IL Part B Supplier - Pharmacy 8628451572 Practice locations: Smithton, IL
O20250725001267 IL Part B Supplier - Mass Immunization (Roster Biller Only) 8628451572 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Freeburg, IL; Red Bud, IL; Smithton, IL

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Groceries of Southern Il3 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.

Locations

3981 State Route 159
Smithton, IL 62285
Phone (618) 207-3186

3981 State Route 159
Ste 5
Smithton, IL 62285
Phone (618) 207-3186

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1326419912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3981 STATE ROUTE 159",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "62285",
            "telephone_number": "618-207-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 STATE ROUTE 159",
            "city": "SMITHTON",
            "state": "IL",
            "postal_code": "62285",
            "telephone_number": "618-207-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROCERIES OF SOUTHERN ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2025-08-04",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "HEURING",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "618-539-3164",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithton Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.