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Deactivated NPI 1912090747 Deactivated / Inactive NPI Female Practitioner

Sue Agent , RPH

Pharmacist • San Diego, 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, Sue Agent has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 02, 2006
NPI Deactivation Date July 12, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Sue Agent, RPH was a registered Pharmacist practicing in San Diego, CA. Throughout an active medical career spanning 17 years, Sue Agent provided care at the practice location at 4653 DA VINCI ST until profile deactivation on 2023-07-12.

Practice Location & Contact Primary Location

Practice Address

4653 Da Vinci St

San Diego, CA 921302729

Telephone 8587931652

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
1577 Specialists

Practicing in San Diego, 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 33297

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 July 12, 2023

Record deactivated on July 12, 2023

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 4653 DA VINCI ST, SAN DIEGO, CA 921302729 (Tel: 8587931652)

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Updated Business Mailing Address July 08, 2007

Registered at 4653 DA VINCI ST, SAN DIEGO, CA 921302729 (Tel: 8587931652)

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Provider Name / Credentials Updated July 08, 2007

Recorded as SUE AGENT, RPH

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

Pharmacist (License #33297 in CA)

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Initial NPI Registration & Enumeration October 02, 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: 1912090747
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Deactivation Date: July 12, 2023

Mailing Address

4653 Da Vinci St

San Diego, CA 921302729

Phone: 8587931652

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.