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JEROLD A MCKENZIE
NPI 1821574823
Pharmacist in Roscoe, IL

Active since July 13, 2018
4860 HONONEGAH RD, ROSCOE, IL 61073(815) 623-7798(815) 623-9479 Get Directions Write a Review

NPPES record last updated: July 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerold A Mckenzie NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROLD A MCKENZIE (NPI 1821574823) is an individual pharmacist in Roscoe, Illinois, licensed in Illinois (051.039948) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1821574823
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJEROLD A MCKENZIE
Location Address4860 HONONEGAH RDRoscoe, IL 61073-7777
Mailing Address4860 Hononegah RdRoscoe, IL 61073-7777 · (815) 623-7798 · Fax (815) 623-9479
Phone(815) 623-7798
Fax(815) 623-9479
Sole ProprietorYes
Enumeration DateJuly 13, 2018
✔ NPI 1821574823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IL · 051.039948
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Also ListedPharmacyTaxonomy 333600000X · License 051.039948 (IL)
4860 HONONEGAH RD, Roscoe, IL 61073
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
4860 HONONEGAH RD
ROSCOE, IL 61073
Winnebago County (815) 623-7798
DANIEL JAY WESSEL RPH
Pharmacist
4860 HONONEGAH RD
ROSCOE, IL 61073
Winnebago County (815) 623-7798

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerold Mckenzie's NPI number?

The NPI number for Jerold Mckenzie is 1821574823. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Jerold Mckenzie located?

Jerold Mckenzie practices at 4860 Hononegah Rd, Roscoe, IL 61073. The listed phone number is (815) 623-7798.

What is Jerold Mckenzie's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jerold Mckenzie was last updated on July 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.