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Deactivated NPI 1083074454 Deactivated / Inactive NPI Male Practitioner

Jack Herman

Pharmacist • Colchester, CT

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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, Jack Herman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 29, 2016
NPI Deactivation Date December 31, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Jack Herman was a registered Pharmacist practicing in Colchester, CT. Throughout an active medical career spanning 2 years, Jack Herman provided care at the practice location at 89 PARK RD until profile deactivation on 2018-12-31.

Practice Location & Contact Primary Location

Practice Address

89 Park Rd

Colchester, CT 064152730

Telephone 8603343683

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Colchester, CT

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

Practicing in Colchester, CT (3300 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 CT 4703

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

12 Historical Events
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NPI Profile Deactivated December 31, 2018

Record deactivated on December 31, 2018

NPI Profile Active June 29, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 29, 2017

Registered at 26 FALLS RD, MOODUS, CT 064691262 (Tel: 8608731481)

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Updated Business Mailing Address June 29, 2017

Registered at 26 FALLS RD, MOODUS, CT 06469 (Tel: 8608731481)

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Provider Name / Credentials Updated June 29, 2017

Recorded as JACK HERMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2017

Pharmacist (License #4703 in CT)

NPI Profile Active February 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location February 29, 2016

Registered at 89 PARK RD, COLCHESTER, CT 064152730 (Tel: 8603343683)

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Updated Business Mailing Address February 29, 2016

Registered at 89 PARK RD, COLCHESTER, CT 064152730 (Tel: 8603343683)

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Provider Name / Credentials Updated February 29, 2016

Recorded as JACK HERMAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 29, 2016

Pharmacist (License #4703 in CT)

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Initial NPI Registration & Enumeration February 29, 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: 1083074454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 29, 2016
Last Update: February 29, 2016
Deactivation Date: December 31, 2018

Mailing Address

89 Park Rd

Colchester, CT 064152730

Phone: 8603343683

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.