Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1770030314 Deactivated / Inactive NPI Male Practitioner

Jeff Shakespeare

Pharmacist • Page, AZ

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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, Jeff Shakespeare has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2016
NPI Deactivation Date June 22, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Jeff Shakespeare was a registered Pharmacist practicing in Page, AZ. Throughout an active medical career spanning 5 years, Jeff Shakespeare provided care at the practice location at 650 ELM ST until profile deactivation on 2021-06-22.

Practice Location & Contact Primary Location

Practice Address

650 Elm St

Page, AZ 86040

Telephone 9286458155
Associated Practice Facility / Clinic
🏢 Safeway Inc Facility NPI 1447289491

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Page, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Page, AZ (6928 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 AZ S021954

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

3 Associated Practitioners
Dr. Dylan Ly , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1134479918

Doctor of Pharmacy (Pharm.D.)

NPI 1437676301

Doctor of Pharmacy (Pharm.D.)

NPI 1932679578

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 June 22, 2021

Record deactivated on June 22, 2021

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 01, 2016

Registered at 650 ELM ST, PAGE, AZ 86040 (Tel: 9286458155)

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Updated Business Mailing Address September 01, 2016

Registered at PO BOX 1346, PAGE, AZ 860401346 (Tel: 9286458155)

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Provider Name / Credentials Updated September 01, 2016

Recorded as JEFF SHAKESPEARE

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Pharmacist (License #S021954 in AZ)

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Initial NPI Registration & Enumeration September 01, 2016

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: 1770030314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2016
Last Update: September 01, 2016
Deactivation Date: June 22, 2021

Mailing Address

Po Box 1346

Page, AZ 860401346

Phone: 9286458155

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.