Healthcare Provider Details

I. General information

NPI: 1184064255
Provider Name (Legal Business Name): JAYMEE LYNN GASPAR PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2013
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N MORRISON RD
MUNCIE IN
47304-5568
US

IV. Provider business mailing address

1900 E MAIN ST
DANVILLE IL
61832-5100
US

V. Phone/Fax

Practice location:
  • Phone: 765-254-5602
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26025084A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: