Groceries of Southern Illinois, LLC.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054020849 Issued in IL

Legal business name

GROCERIES OF SOUTHERN ILLINOIS, LLC.

Doing business as

Freeburg Country Mart

Practice address

500 N State St
Freeburg, IL 62243-1206

Phone

(618) 539-3164

Fax

(618) 539-5014

NPI assigned

Oct 13, 2006

Last updated

Jul 22, 2025By 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

Meghan HeuringNPI 1316543259

Title

Pharmacy Director

Phone

(618) 539-3164

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Freeburg Country Mart Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Groceries of Southern Illinois LLC

  dba Smithton Pharmacy

  • Community/Retail Pharmacy
  • Smithton, IL
  • NPI 1326419912

  8628451572

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

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

• Groceries of Southern Illinois LLC

  dba Smithton Pharmacy

  • Community/Retail Pharmacy
  • Smithton, IL
  • NPI 1326419912

  O20250725001267

  Same enrollment
• Groceries of Southern Illinois, LLC.

  dba Red Bud Country Mart Pharmacy

  • Community/Retail Pharmacy
  • Red Bud, IL
  • NPI 1912075151

  O20250725001267

  Same enrollment

Locations

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.

• Meghan Heuring

  • Pharmacist
  • Freeburg, IL
  • NPI 1316543259
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1831289750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N STATE ST",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431206",
            "telephone_number": "618-539-3164",
            "fax_number": "618-539-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N STATE ST",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622431206",
            "telephone_number": "618-539-3164",
            "fax_number": "618-539-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROCERIES OF SOUTHERN ILLINOIS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "HEURING",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "618-539-3164"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054020849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371119006002",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2023267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeburg Country Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Freeburg Vision Center, Inc.
• Samantha Glasco, D.C.
• Elizabeth Jean Gonzalez, LMT
• Groceries of Southern Illinois LLC (Freeburg pharmacy)
• Groceries of Southern Illinois LLC (freeburg pharmacy)
• Jamie L Hahne
• Richard Benjamin Hamm, O.D.
• Denise Hand
• Natalie Ann Heberlie, PT
• Meghan Heuring

• Community/Retail Pharmacy in Freeburg, IL
• Providers in Freeburg, 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 Jul 22, 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.