IndividualActive
Jessie Icenogle, PHARMD
NPI 1235096488 · Pharmacist · Saint Louis, MO
Jessie Icenogle, PHARMD is a Pharmacist provider in Saint Louis, MO (NPI 1235096488).
Provider details
- NPI number
- 1235096488
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 2025032722 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone: (314) 257-8000
Street-level locationGet directions
Mailing address
1107 Ralph Ter
Richmond Heights, MO 63117-1528
Registry dates
- Enumerated
- 2026-01-08
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Frequently asked questions
- What is Jessie Icenogle's NPI number?
- Jessie Icenogle's National Provider Identifier (NPI) is 1235096488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessie Icenogle's specialty?
- Jessie Icenogle is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jessie Icenogle located?
- Jessie Icenogle's practice location on file with NPPES is 1201 S Grand Blvd, Saint Louis, MO 63104-1016.
- What is Jessie Icenogle's phone number?
- The practice phone number listed in the NPPES registry for Jessie Icenogle is (314) 257-8000.
- Is Jessie Icenogle's NPI active?
- Yes — Jessie Icenogle's NPI (1235096488) is active in the NPPES registry as of the last update on 2026-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.