Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235411919 Deactivated / Inactive NPI Male Practitioner

Kenneth James Gauthier

Pharmacist • Conyers, GA

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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, Kenneth Gauthier has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2011
NPI Deactivation Date October 11, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Kenneth Gauthier was a registered Pharmacist practicing in Conyers, GA. Throughout an active medical career spanning 13 years, Kenneth Gauthier provided care at the practice location at 1783 HIGHWAY 138 SE until profile deactivation on 2024-10-11.

Practice Location & Contact Primary Location

Practice Address

1783 Highway 138 Se

Conyers, GA 300131295

Telephone 7704835644
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1831350214

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
57 Specialists

Practicing in Conyers, GA (8508 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 GA 10183

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

3 Associated Practitioners
NPI 1346523024

Registered Pharmacist

NPI 1376157008

Registered Pharmacist

Shawn Taylor

Pharmacist

NPI 1457633471

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 October 11, 2024

Record deactivated on October 11, 2024

NPI Profile Active September 19, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 19, 2011

Registered at 1783 HIGHWAY 138 SE, CONYERS, GA 300131295 (Tel: 7704835644)

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Updated Business Mailing Address September 19, 2011

Registered at 4282 VINEYARD TRL, SNELLVILLE, GA 300396197 (Tel: 7709728310)

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Provider Name / Credentials Updated September 19, 2011

Recorded as KENNETH GAUTHIER

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2011

Pharmacist (License #10183 in GA)

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Initial NPI Registration & Enumeration September 19, 2011

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: 1235411919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2011
Last Update: September 19, 2011
Deactivation Date: October 11, 2024

Mailing Address

4282 Vineyard Trl

Snellville, GA 300396197

Phone: 7709728310

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.