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Deactivated NPI 1407302425 Deactivated / Inactive NPI Male Practitioner

Warren Jay Kingdon , RPH

Pharmacist • Fountain Valley, CA

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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, Warren Kingdon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2016
NPI Deactivation Date November 01, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Warren Kingdon, RPH was a registered Pharmacist practicing in Fountain Valley, CA. Throughout an active medical career spanning 5 years, Warren Kingdon provided care at the practice location at 10885 EL DOMINO AVE until profile deactivation on 2021-11-01.

Practice Location & Contact Primary Location

Practice Address

10885 El Domino Ave

Fountain Valley, CA 927083905

Telephone 7143989200

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fountain Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
146 Specialists

Practicing in Fountain Valley, CA (33119 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 CA 28125

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 November 01, 2021

Record deactivated on November 01, 2021

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 30, 2016

Registered at 10885 EL DOMINO AVE, FOUNTAIN VALLEY, CA 927083905 (Tel: 7143989200)

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Updated Business Mailing Address August 30, 2016

Registered at 10885 EL DOMINO AVE, FOUNTAIN VALLEY, CA 927083905 (Tel: 7143989200)

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Provider Name / Credentials Updated August 30, 2016

Recorded as WARREN KINGDON, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Pharmacist (License #28125 in CA)

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Initial NPI Registration & Enumeration August 30, 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: 1407302425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2016
Last Update: August 30, 2016
Deactivation Date: November 01, 2021

Mailing Address

10885 El Domino Ave

Fountain Valley, CA 927083905

Phone: 7143989200

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.