Jerold A. McKenzie

Pharmacist · Roscoe, IL

Individual Active NPI

NPI number 1821574823

Practice location

4860 Hononegah Rd
Roscoe, IL 61073-7777
Phone
(815) 623-7798
Fax
(815) 623-9479

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NPI record

NPI
1821574823
Entity type
Individual (Type 1)
Enumeration date
July 13, 2018
Last updated
July 13, 2018
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051.039948 IL
Pharmacy 333600000X 051.039948 IL

About Jerold McKenzie

Jerold A. McKenzie is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4860 Hononegah Rd, Roscoe, IL 61073-7777. The NPI number 1821574823 was assigned on July 13, 2018 and the record was last updated on July 13, 2018.

Jerold McKenzie lists 2 licenses in the registry: #051.039948 (IL) for Pharmacist; #051.039948 (IL) for Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerold A. McKenzie?

The NPI number is 1821574823.

What is the phone number of Jerold McKenzie?

The phone number listed for the practice location is (815) 623-7798.

Where is Jerold McKenzie located?

4860 Hononegah Rd, Roscoe, IL 61073-7777.

What is the taxonomy code for Jerold McKenzie?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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