NPI

Jason Joseph Degenhart

NPI 1669503306

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
Pharm. D. RPH
Type
Individual
Enumeration date
2007-03-07
Last updated
2025-09-11

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Specialties

Licenses

License IL
051-289022

Location

Practice location
2939 Wild Horse St
City
Normal IL
Postal code
61761-9656
Phone
(309) 451-1722

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Pharmacists in Normal, IL. 47 with this primary taxonomy in the public file.

Other NPIs in Normal, IL. 1,190 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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