DR. JASON JOSEPH DEGENHART (NPI# 1669503306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669503306 |
| Entity Type | Individual |
| Full Name | DR. JASON JOSEPH DEGENHART |
| Credential | PHARM. D. RPH |
| Practice Address |
2939 Wild Horse St Normal IL 61761-9656 |
| Practice Telephone | 3094511722 |
| Mailing Telephone | 3094511722 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 183500000X | Pharmacist | IL | Pharmacy Service Providers | |
| X | 1835G0303X |
Pharmacist Specialization: Geriatric |
IL | Pharmacy Service Providers |
| Street Address |
2939 WILD HORSE ST |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-9656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820515 | Michelle Kurtyak | Pharmacist | 300 Greenbriar Dr # 1125, Normal, IL 61761-2278 | 2020-10-27 |
| 1477980118 | Jeffrey William Bowman | Pharmacist | 1322 Beacon Hill Ct, Normal, IL 61761-5410 | 2013-09-26 |
| 1073897823 | Dean W Stephan | Pharmacist | 1513 Adam Dr, Normal, IL 61761-2145 | 2011-09-28 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1851674543 | Elkanah Israel Kindseth | Pharmacist | 1114 Liberty Rd, Normal, IL 61761-1311 | 2011-09-20 |
| 1972885622 | Chad Garner | Pharmacist | 411 Hovey Ave, Normal, IL 61761-3520 | 2011-09-19 |
| 1124306634 | David William Held | Pharmacist | 104 Malvern Dr, Normal, IL 61761-2743 | 2011-08-01 |
| 1972792943 | Lisa M Schaefer | Pharmacist | 1900 E College Ave, Normal, IL 61761-4577 | 2007-10-16 |
| 1568679926 | Matthew Dennis Loy | Pharmacist | 1108 Oak Hill St, Normal, IL 61761-4873 | 2007-05-16 |
| 1265507388 | Patrick Moraleda | Pharmacist | 101 N University, Isu Health Service Pharmacy, Normal, IL 61790-2540 | 2006-11-22 |
| Find all providers in NORMAL | ||||
Please comment or provide details below to improve the information on DR. JASON JOSEPH DEGENHART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.