IndividualActive
Jason Degenhart, PHARM. D. RPH
NPI 1669503306 · Pharmacist · Normal, IL
Provider details
- NPI number
- 1669503306
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM. D. RPH
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Pharmacy Service Providers
- Geriatric Pharmacist1835G0303X
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% 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
2939 Wild Horse St
Normal, IL 61761-9656
Phone: (309) 451-1722
Street-level locationGet directions
Mailing address
2939 Wild Horse St
Normal, IL 61761-9656
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.