Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619391398 Deactivated / Inactive NPI Male Practitioner

Kyle Bacon

Pharmacist - Pharmacotherapy • Phoenix, AZ

⚠️

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, Kyle Bacon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 14, 2014
NPI Deactivation Date October 25, 2018
Total Practice Duration ~4 Years of Practice (2014 – 2018)

Professional Overview & Biography Verified Profile Summary

Kyle Bacon was a registered Pharmacist - Pharmacotherapy practicing in Phoenix, AZ. Throughout an active medical career spanning 4 years, Kyle Bacon provided care at the practice location at 40 N CENTRAL AVE until profile deactivation on 2018-10-25.

Practice Location & Contact Primary Location

Practice Address

40 N Central Ave
Suite 600

Phoenix, AZ 850044424

Telephone 6023645300
Associated Practice Facility / Clinic
🏢 Quickstaff Healthcare Inc Facility NPI 1831304419

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Pharmacotherapy in Phoenix, AZ

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

Practicing in Phoenix, AZ (188 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 - Pharmacotherapy Primary Specialty

NUCC Taxonomy Code: 1835P1200X

State License ID P6921

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1144584277

Doctor of Chiropractic

Dr. Michael Seifried , DC

Chiropractor - Sports Physician

NPI 1336119924

Doctor of Chiropractic

Dr. Charles Rhodes , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1437127602

Doctor of Medicine (M.D.)

Elvira Mosely , RN

Registered Nurse

NPI 1932455698

Registered Nurse

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated October 25, 2018

Record deactivated on October 25, 2018

NPI Profile Active February 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 14, 2014

Registered at 40 N CENTRAL AVE, SUITE 600, PHOENIX, AZ 850044424 (Tel: 6023645300)

📍
Updated Business Mailing Address February 14, 2014

Registered at 40 N CENTRAL AVE, SUITE 600, PHOENIX, AZ 850044424

👤
Provider Name / Credentials Updated February 14, 2014

Recorded as KYLE BACON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2014

Pharmacist (License #P6921 in ID)

🟢
Initial NPI Registration & Enumeration February 14, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kyle Bacon. Be the first to share your experience!

Sign in to leave a review for Kyle Bacon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1619391398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2014
Last Update: February 14, 2014
Deactivation Date: October 25, 2018

Mailing Address

40 N Central Ave, Suite 600

Phoenix, AZ 850044424

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.