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Deactivated NPI 1205106374 Deactivated / Inactive NPI Male Practitioner

Roger Allan Marlow , BS

Pharmacist • Champaign, IL

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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, Roger Marlow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 06, 2012
NPI Deactivation Date February 20, 2025
Total Practice Duration ~13 Years of Practice (2012 – 2025)

Professional Overview & Biography Verified Profile Summary

Roger Marlow, BS was a registered Pharmacist practicing in Champaign, IL. Throughout an active medical career spanning 13 years, Roger Marlow provided care at the practice location at 1713 W SPRINGFIELD AVE until profile deactivation on 2025-02-20.

Practice Location & Contact Primary Location

Practice Address

1713 W Springfield Ave

Champaign, IL 618213011

Telephone 2173562529
Fax 2173561423
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1689689705

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
83 Specialists

Practicing in Champaign, IL (9983 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 IL 051025361

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

11 Associated Practitioners
Jordan Grant

Pharmacist

NPI 1124893474
NPI 1134525520

Doctor of Pharmacy (Pharm.D.)

NPI 1235531427
Jincy Philip

Pharmacist

NPI 1235549064
NPI 1275145351

Doctor of Pharmacy (Pharm.D.)

You Fen Lei

Pharmacist

NPI 1346642881

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 February 20, 2025

Record deactivated on February 20, 2025

NPI Profile Active January 06, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 06, 2012

Registered at 1713 W SPRINGFIELD AVE, CHAMPAIGN, IL 618213011 (Tel: 2173562529)

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Updated Business Mailing Address January 06, 2012

Registered at 1713 W SPRINGFIELD AVE, CHAMPAIGN, IL 618213011 (Tel: 2173562529)

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Provider Name / Credentials Updated January 06, 2012

Recorded as ROGER MARLOW, BS

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2012

Pharmacist (License #051025361 in IL)

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Initial NPI Registration & Enumeration January 06, 2012

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: 1205106374
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2012
Last Update: January 06, 2012
Deactivation Date: February 20, 2025

Mailing Address

1713 W Springfield Ave

Champaign, IL 618213011

Phone: 2173562529

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.