Active NPI
Cassidy Jo Jansen, PHARMD
- Pharmacist
- Mount Vernon, IL
National Provider Identifier
1932047495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.305560
- Practice address
- 1 Good Samaritan Way
Mount Vernon, IL 62864-2402 - Phone
- (618) 899-3440
- NPI assigned
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
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 | 051.305560 | IL | Primary |
Addresses
Primary practice location
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Mailing address
118 Ridge View Dr
Damiansville, IL 62215-1327
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 |
|---|---|---|---|
| 051.305560 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1932047495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 RIDGE VIEW DR",
"city": "DAMIANSVILLE",
"state": "IL",
"postal_code": "622151327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GOOD SAMARITAN WAY",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642402",
"telephone_number": "618-899-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "CASSIDY",
"middle_name": "JO",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-24",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.305560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.