Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356066120 Individual Practitioner Male Practitioner

Jacob Fredericks

Pharmacist • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Jacob Fredericks is a registered healthcare professional specializing in Pharmacist in Springfield, IL. Practice services are available at 3100 S MACARTHUR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 S Macarthur Blvd

Springfield, IL 627045800

Telephone 2175284926
Associated Practice Facility / Clinic
🏢 Highland Park Cvs Llc Facility NPI 1881636074

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
164 Specialists

Practicing in Springfield, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051.304276

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2022

Registered at 3100 S MACARTHUR BLVD, SPRINGFIELD, IL 627045800 (Tel: 2175284926)

📍
Updated Business Mailing Address October 05, 2022

Registered at 708 W OAK ST, GILLESPIE, IL 620331240

👤
Provider Name / Credentials Updated October 05, 2022

Recorded as JACOB FREDERICKS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2022

Pharmacist (License #051.304276 in IL)

🟢
Initial NPI Registration & Enumeration October 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356066120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 05, 2022
Last Update: October 05, 2022
Sole Proprietor: Yes

Mailing Address

708 W Oak St

Gillespie, IL 620331240

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.