Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jeremy Rutherford, PHARMD

Individual provider Geriatric Pharmacist · NPI 1063796621

Dr. Jeremy Rutherford, PHARMD is a Geriatric Pharmacist in East Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

300 N Main St
East Peoria, IL 61611-2016
Phone: (309) 694-7661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Pharmacist (primary) Taxonomy 1835G0303X · Licence 051291403 (IL)

Record details

NPI number1063796621
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedSeptember 30, 2011
Last updated in NPPESSeptember 30, 2011
Mailing address300 N Main St, East Peoria, IL 61611-2016