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Deactivated NPI 1629342191 Deactivated / Inactive NPI Male Practitioner

John Edward Hendricks

Pharmacist • Marion, 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, John Hendricks has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2012
NPI Deactivation Date January 08, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

John Hendricks was a registered Pharmacist practicing in Marion, IL. Throughout an active medical career spanning 6 years, John Hendricks provided care at the practice location at 7846 AVIATION DR until profile deactivation on 2018-01-08.

Practice Location & Contact Primary Location

Practice Address

7846 Aviation Dr

Marion, IL 629595818

Telephone 6189932900
Fax 6189981485
Associated Practice Facility / Clinic
🏢 Senior Med Services Inc Facility NPI 1801952791

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Marion, IL

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

Practicing in Marion, 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 051.025935

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

8 Associated Practitioners
Lisa Brown , RN

Registered Nurse

NPI 1053869826

Registered Nurse

Doug Woolard , RPH

Pharmacist - Geriatric

NPI 1346461811

Registered Pharmacist

Barbara Stoecklin , RPH

Pharmacist - Geriatric

NPI 1487875472

Registered Pharmacist

NPI 1588015994

Doctor of Pharmacy (Pharm.D.)

Blake Nestor

Pharmacist

NPI 1598117541
Darla Dewit

Pharmacist

NPI 1609140177

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated January 08, 2018

Record deactivated on January 08, 2018

NPI Profile Active March 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2012

Registered at 7846 AVIATION DR, MARION, IL 629595818 (Tel: 6189932900)

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Updated Business Mailing Address March 01, 2012

Registered at 7846 AVIATION DR, MARION, IL 629595818 (Tel: 6189932900)

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Provider Name / Credentials Updated March 01, 2012

Recorded as JOHN HENDRICKS

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2012

Pharmacist (License #051.025935 in IL)

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Initial NPI Registration & Enumeration March 01, 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: 1629342191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2012
Last Update: March 01, 2012
Deactivation Date: January 08, 2018

Mailing Address

7846 Aviation Dr

Marion, IL 629595818

Phone: 6189932900

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.