IndividualActive
Jacob Fredericks
NPI 1356066120 · Pharmacist · Springfield, IL
Jacob Fredericks is a Pharmacist provider in Springfield, IL (NPI 1356066120).
Provider details
- NPI number
- 1356066120
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051.304276 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
3100 S Macarthur Blvd
Springfield, IL 62704-5800
Phone: (217) 528-4926
Street-level locationGet directions
Mailing address
708 W Oak St
Gillespie, IL 62033-1240
Registry dates
- Enumerated
- 2022-10-05
- Last updated
- 2022-10-05
- Certified
- 2022-10-05
Frequently asked questions
- What is Jacob Fredericks's NPI number?
- Jacob Fredericks's National Provider Identifier (NPI) is 1356066120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Fredericks's specialty?
- Jacob Fredericks is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jacob Fredericks located?
- Jacob Fredericks's practice location on file with NPPES is 3100 S Macarthur Blvd, Springfield, IL 62704-5800.
- What is Jacob Fredericks's phone number?
- The practice phone number listed in the NPPES registry for Jacob Fredericks is (217) 528-4926.
- Is Jacob Fredericks's NPI active?
- Yes — Jacob Fredericks's NPI (1356066120) is active in the NPPES registry as of the last update on 2022-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.