JACOB J. GENDRON PHARM.D – NPI #1477963486
Pharmacist

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.

JACOB GENDRON is a pharmacist located in PEORIA, IL. NPPES has assigned the NPI number 1477963486 to JACOB GENDRON on April 29, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACOB GENDRON below.

NPI Profile for
JACOB J. GENDRON

NPI Number
1477963486
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACOB J. GENDRON
Credentials
PHARM.D
Primary location
3524 N UNIVERSITY ST
PEORIA, IL 61604-1360
Phone: (309) 686-1933 Fax:
Mailing address
1903 WAKEFIELD LN
BLOOMINGTON, IL 61704-9197
Phone: (309) 533-2600 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
IL 051.296632

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.