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Deactivated NPI 1538244504 Deactivated / Inactive NPI Male Practitioner

Jerry Lee Young

Pharmacist • Decatur, AR

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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, Jerry Young has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2006
NPI Deactivation Date January 11, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Jerry Young was a registered Pharmacist practicing in Decatur, AR. Throughout an active medical career spanning 16 years, Jerry Young provided care at the practice location at 154 MAIN ST until profile deactivation on 2022-01-11.

Practice Location & Contact Primary Location

Practice Address

154 Main St

Decatur, AR 72722

Telephone 4797525888
Fax 4797525624

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Decatur, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Decatur, AR (2976 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 AR AR 16392

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.

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 January 11, 2022

Record deactivated on January 11, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 154 MAIN ST, DECATUR, AR 72722 (Tel: 4797525888)

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Updated Business Mailing Address July 08, 2007

Registered at 154 MAIN ST, DECATUR, AR 72722 (Tel: 4797525888)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY YOUNG

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #AR 16392 in AR)

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Initial NPI Registration & Enumeration October 26, 2006

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: 1538244504
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Deactivation Date: January 11, 2022

Mailing Address

154 Main St

Decatur, AR 72722

Phone: 4797525888

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.