Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerold A McKenzie

Individual provider Pharmacy · NPI 1821574823

Jerold A McKenzie is a Pharmacy in Roscoe, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4860 Hononegah Rd
Roscoe, IL 61073-7777
Phone: (815) 623-7798
Fax: (815) 623-9479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.039948 (IL)
Pharmacy Taxonomy 333600000X · Licence 051.039948 (IL)

Record details

NPI number1821574823
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 13, 2018
Last updated in NPPESJuly 13, 2018