JESSIE ICENOGLE PHARMD
NPI 1235096488
Pharmacist in Saint Louis, MO

Active since January 08, 2026
1201 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 257-8000 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessie Icenogle Pharmd NPPES

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

JESSIE ICENOGLE PHARMD (NPI 1235096488) is an individual pharmacist in Saint Louis, Missouri, licensed in Missouri (2025032722) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1235096488
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJESSIE ICENOGLECredential: PHARMD
Location Address1201 S GRAND BLVDSaint Louis, MO 63104-1016
Mailing Address1107 Ralph TerRichmond Heights, MO 63117-1528
Sole ProprietorNo
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
NPI 1235096488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2025032722
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.
1201 S GRAND BLVD, Saint Louis, MO 63104

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Acute Care)
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Physician Assistant
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1201 S GRAND BLVD
SAINT LOUIS, MO 63104
Hospitalist
1201 S GRAND BLVD
SAINT LOUIS, MO 63104

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 Jessie Icenogle's NPI number?

The NPI number for Jessie Icenogle is 1235096488. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Jessie Icenogle located?

Jessie Icenogle practices at 1201 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 257-8000.

What is Jessie Icenogle'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 Jessie Icenogle was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.