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Deactivated NPI 1134328248 Deactivated / Inactive NPI Male Practitioner

Jake Ronald Vaughn , RPH

Pharmacist • Hoover, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jake Vaughn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2007
NPI Deactivation Date April 29, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Jake Vaughn, RPH was a registered Pharmacist practicing in Hoover, AL. Throughout an active medical career spanning 15 years, Jake Vaughn provided care at the practice location at 2201 TYLER RD until profile deactivation on 2022-04-29.

Practice Location & Contact Primary Location

Practice Address

2201 Tyler Rd

Hoover, AL 352261705

Telephone 2058231832
Fax 2058235889
Associated Practice Facility / Clinic
🏢 Alabama Cvs Pharmacy, L.l.c. Facility NPI 1770686495

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Hoover, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
151 Specialists

Practicing in Hoover, AL (4686 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AL 5415

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Tarik Bouakar

Pharmacist

NPI 1073116596
Taha Ghannoum

Pharmacist

NPI 1285390443
NPI 1780316075

Doctor of Pharmacy (Pharm.D.)

NPI 1841399250

Doctor of Pharmacy (Pharm.D.)

NPI 1902400831

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2022

Record deactivated on April 29, 2022

NPI Profile Active July 18, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 18, 2007

Registered at 2201 TYLER RD, HOOVER, AL 352261705 (Tel: 2058231832)

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Updated Business Mailing Address July 18, 2007

Registered at 2201 TYLER RD, HOOVER, AL 352261705 (Tel: 2058231832)

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Provider Name / Credentials Updated July 18, 2007

Recorded as JAKE VAUGHN, R.PH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2007

Pharmacist (License #5415 in AL)

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Initial NPI Registration & Enumeration July 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134328248
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2007
Last Update: July 18, 2007
Deactivation Date: April 29, 2022

Mailing Address

2201 Tyler Rd

Hoover, AL 352261705

Phone: 2058231832

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.