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Deactivated NPI 1215025002 Deactivated / Inactive NPI Male Practitioner

Robert Thomas Shaw , RPH

Pharmacist • Marissa, 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, Robert Shaw has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 10, 2006
NPI Deactivation Date July 28, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Robert Shaw, RPH was a registered Pharmacist practicing in Marissa, IL. Throughout an active medical career spanning 19 years, Robert Shaw provided care at the practice location at 219 N MAIN ST until profile deactivation on 2025-07-28.

Practice Location & Contact Primary Location

Practice Address

219 N Main St

Marissa, IL 622571343

Telephone 6182952241
Fax 6182953669

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Marissa, IL

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

Practicing in Marissa, 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

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.

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 July 28, 2025

Record deactivated on July 28, 2025

NPI Profile Active December 03, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 03, 2007

Registered at 219 N MAIN ST, MARISSA, IL 622571343 (Tel: 6182952241)

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Updated Business Mailing Address December 03, 2007

Registered at 219 N MAIN ST, MARISSA, IL 622571343 (Tel: 6182952241)

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Provider Name / Credentials Updated December 03, 2007

Recorded as ROBERT SHAW, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2007

Pharmacist

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Initial NPI Registration & Enumeration October 10, 2006

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: 1215025002
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2006
Last Update: December 03, 2007
Deactivation Date: July 28, 2025

Mailing Address

219 N Main St

Marissa, IL 622571343

Phone: 6182952241

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.