Jessica Renee Hendrickson, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2012026462 Issued in MO

Practice address

1802 S Business 54
Eldon, MO 65026-1786

Phone

(573) 392-1863

Fax

(816) 410-2951

NPI assigned

Aug 3, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East, LP

  • Community/Retail Pharmacy
  • Eldon, MO
  • NPI 1538187026
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1013263490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 S BUSINESS 54",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261786",
            "telephone_number": "573-392-1863",
            "fax_number": "816-410-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 S BUSINESS 54",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "650261786",
            "telephone_number": "573-392-1863",
            "fax_number": "816-410-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2012026462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Gail Hagan, RPH
• Katherine Harmon
• Connie Harrison, RPH
• Diana Arlene Harrison, MASSAGE THERAPIST
• Natalie Hawken, DC
• Miranda Henley, PHARMD
• Karen M Hoffman, FNP-C
• Makayla J Holtschneider, DC
• Honeycomb Health LLC
• Jillynn Rachele Hull, NP

• All providers in Eldon, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.