Active NPI
Jasmine Waytula, PHARM D
- Pharmacist
- McHenry, IL
National Provider Identifier
1710836754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.308046
- Practice address
- 5009 Home Ave
McHenry, IL 60050-3555 - Phone
- (815) 363-1526
- NPI assigned
- Jan 23, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.308046 | IL | Primary |
Addresses
Primary practice location
5009 Home Ave
McHenry, IL 60050-3555
Mailing address
5009 Home Ave
McHenry, IL 60050-3555
Phone (815) 363-1526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.308046 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1710836754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5009 HOME AVE",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600503555",
"telephone_number": "815-363-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 HOME AVE",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600503555",
"telephone_number": "815-363-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYTULA",
"first_name": "JASMINE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-01-23",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.308046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.