Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407123540 Deactivated / Inactive NPI Male Practitioner

Robert Fumio Ito , BS

Pharmacist • Lodi, CA

⚠️

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, Robert Ito has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2011
NPI Deactivation Date December 09, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Robert Ito, BS was a registered Pharmacist practicing in Lodi, CA. Throughout an active medical career spanning 10 years, Robert Ito provided care at the practice location at 2355 W KETTLEMAN LN until profile deactivation on 2021-12-09.

Practice Location & Contact Primary Location

Practice Address

2355 W Kettleman Ln
T0853

Lodi, CA 952424120

Telephone 2093390232
Fax 2093390232
Associated Practice Facility / Clinic
🏢 Garfield Beach Cvs Llc Facility NPI 1992728299

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lodi, CA

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

Practicing in Lodi, 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 24062

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

4 Associated Practitioners
NPI 1164653069

Doctor of Pharmacy (Pharm.D.)

NPI 1720489016

Doctor of Pharmacy (Pharm.D.)

NPI 1740567098

Doctor of Pharmacy (Pharm.D.)

My Huynh , RPH

Pharmacist

NPI 1952879330

Registered Pharmacist

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 09, 2021

Record deactivated on December 09, 2021

NPI Profile Active November 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2011

Registered at 2355 W KETTLEMAN LN, T0853, LODI, CA 952424120 (Tel: 2093390232)

📍
Updated Business Mailing Address November 17, 2011

Registered at 2355 W KETTLEMAN LN, T0853, LODI, CA 952424120 (Tel: 2093390232)

👤
Provider Name / Credentials Updated November 17, 2011

Recorded as ROBERT ITO, B.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2011

Pharmacist (License #24062 in CA)

🟢
Initial NPI Registration & Enumeration November 17, 2011

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 Robert Ito. Be the first to share your experience!

Sign in to leave a review for Robert Ito

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

NPI Administrative Meta

NPI Number: 1407123540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2011
Last Update: November 17, 2011
Deactivation Date: December 09, 2021

Mailing Address

2355 W Kettleman Ln, T0853

Lodi, CA 952424120

Phone: 2093390232

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.