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Deactivated NPI 1396378576 Deactivated / Inactive NPI Male Practitioner

Dr. Justin Matthew Powell , PharmD

Pharmacist - Ambulatory Care • Pace, FL

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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, Dr. Justin Powell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 17, 2020
NPI Deactivation Date December 26, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Justin Powell, PharmD was a registered Pharmacist - Ambulatory Care practicing in Pace, FL. Throughout an active medical career spanning 4 years, Dr. Powell provided care at the practice location at 3754 HIGHWAY 90 STE 300 until profile deactivation on 2024-12-26.

Practice Location & Contact Primary Location

Practice Address

3754 Highway 90 Ste 300

Pace, FL 325711098

Telephone 8504165510
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Ambulatory Care in Pace, FL

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

Practicing in Pace, FL (124 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 - Ambulatory Care Primary Specialty

NUCC Taxonomy Code: 1835P2201X

State License FL PS58231

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Mallory Lewis , DO

Family Medicine

NPI 1588192520

Doctor of Osteopathic Medicine (D.O.)

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 December 26, 2024

Record deactivated on December 26, 2024

NPI Profile Active February 17, 2020

NPI status registered as active in NPPES database

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Updated Practice Location February 17, 2020

Registered at 3754 HIGHWAY 90 STE 300, PACE, FL 325711098 (Tel: 8504165510)

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Updated Business Mailing Address February 17, 2020

Registered at 3754 HIGHWAY 90 STE 300, PACE, FL 325711098

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Provider Name / Credentials Updated February 17, 2020

Recorded as JUSTIN POWELL, PHARM.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2020

Pharmacist (License #PS58231 in FL)

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Initial NPI Registration & Enumeration February 17, 2020

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: 1396378576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2020
Last Update: February 17, 2020
Deactivation Date: December 26, 2024

Mailing Address

3754 Highway 90 Ste 300

Pace, FL 325711098

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.