Jack Herman
Pharmacist • Colchester, CT
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.
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
89 Park Rd
Colchester, CT 064152730
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Colchester, CT
Practicing in Colchester, CT (3300 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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
Record deactivated on December 31, 2018
NPI status registered as active in NPPES database
Registered at 26 FALLS RD, MOODUS, CT 064691262 (Tel: 8608731481)
Registered at 26 FALLS RD, MOODUS, CT 06469 (Tel: 8608731481)
Recorded as JACK HERMAN
Pharmacist (License #4703 in CT)
NPI status registered as active in NPPES database
Registered at 89 PARK RD, COLCHESTER, CT 064152730 (Tel: 8603343683)
Registered at 89 PARK RD, COLCHESTER, CT 064152730 (Tel: 8603343683)
Recorded as JACK HERMAN
Pharmacist (License #4703 in CT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
89 Park Rd
Colchester, CT 064152730
Phone: 8603343683
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