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Deactivated NPI 1134413347 Deactivated / Inactive NPI Male Practitioner

Jerry Lee Newman , RPH

Pharmacist • Crystal Lake, 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, Jerry Newman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 06, 2011
NPI Deactivation Date March 02, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Jerry Newman, RPH was a registered Pharmacist practicing in Crystal Lake, IL. Throughout an active medical career spanning 10 years, Jerry Newman provided care at the practice location at 5580 NORTHWEST HWY until profile deactivation on 2021-03-02.

Practice Location & Contact Primary Location

Practice Address

5580 Northwest Hwy

Crystal Lake, IL 600148016

Telephone 8153569318
Fax 8153569318
Associated Practice Facility / Clinic
🏢 Highland Park Cvs Llc Facility NPI 1891717500

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Crystal Lake, IL

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

Practicing in Crystal Lake, 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 051030400

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 1164716346

Registered Pharmacist

NPI 1538763107

Doctor of Pharmacy (Pharm.D.)

NPI 1932486487

Doctor of Pharmacy (Pharm.D.)

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 March 02, 2021

Record deactivated on March 02, 2021

NPI Profile Active June 06, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 06, 2011

Registered at 5580 NORTHWEST HWY, CRYSTAL LAKE, IL 600148016 (Tel: 8153569318)

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Updated Business Mailing Address June 06, 2011

Registered at 5580 NORTHWEST HWY, CRYSTAL LAKE, IL 600148016 (Tel: 8153569318)

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Provider Name / Credentials Updated June 06, 2011

Recorded as JERRY NEWMAN, R.PH.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Pharmacist (License #051030400 in IL)

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Initial NPI Registration & Enumeration June 06, 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: 1134413347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2011
Last Update: June 06, 2011
Deactivation Date: March 02, 2021

Mailing Address

5580 Northwest Hwy

Crystal Lake, IL 600148016

Phone: 8153569318

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.