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JACOB JEFFREY GENDRON PHARM.D
NPI 1477963486
Pharmacist in Peoria, IL

Active since April 29, 2014
3524 N UNIVERSITY ST, PEORIA, IL 61604(309) 686-1933 Get Directions Write a Review

NPPES record last updated: April 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Jeffrey Gendron Pharm.d NPPES

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

JACOB JEFFREY GENDRON PHARM.D (NPI 1477963486) is an individual pharmacist in Peoria, Illinois, licensed in Illinois (051.296632) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1477963486
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACOB JEFFREY GENDRONCredential: PHARM.D
Location Address3524 N UNIVERSITY STPeoria, IL 61604-1360
Mailing Address1903 Wakefield LnBloomington, IL 61704-9197 · (309) 533-2600
Phone(309) 686-1933
Sole ProprietorYes
Enumeration DateApril 29, 2014
✔ NPI 1477963486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IL · 051.296632
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.
3524 N UNIVERSITY ST, Peoria, IL 61604
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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.

ELIZABETH BUCHANAN
Pharmacist
3524 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 686-1933
FIYIN OBAJULUWA
Pharmacist
3524 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 686-1933

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 Jacob Gendron's NPI number?

The NPI number for Jacob Gendron is 1477963486. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Jacob Gendron located?

Jacob Gendron practices at 3524 N University St, Peoria, IL 61604. The listed phone number is (309) 686-1933.

What is Jacob Gendron'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 Jacob Gendron was last updated on April 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.