IndividualActive
Jacob Gendron, PHARM.D
NPI 1477963486 · Pharmacist · Peoria, IL
Jacob Gendron, PHARM.D is a Pharmacist provider in Peoria, IL (NPI 1477963486).
Provider details
- NPI number
- 1477963486
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051.296632 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
3524 N University St
Peoria, IL 61604-1360
Phone: (309) 686-1933
Street-level locationGet directions
Mailing address
1903 Wakefield Ln
Bloomington, IL 61704-9197
Registry dates
- Enumerated
- 2014-04-29
- Last updated
- 2014-04-29
Frequently asked questions
- What is Jacob Gendron's NPI number?
- Jacob Gendron's National Provider Identifier (NPI) is 1477963486, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Gendron's specialty?
- Jacob Gendron is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jacob Gendron located?
- Jacob Gendron's practice location on file with NPPES is 3524 N University St, Peoria, IL 61604-1360.
- What is Jacob Gendron's phone number?
- The practice phone number listed in the NPPES registry for Jacob Gendron is (309) 686-1933.
- Is Jacob Gendron's NPI active?
- Yes — Jacob Gendron's NPI (1477963486) is active in the NPPES registry as of the last update on 2014-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.