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Deactivated NPI 1659729689 Deactivated / Inactive NPI Female Practitioner

Lisa Bethea , RPH

Pharmacist • Normal, 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, Lisa Bethea has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2016
NPI Deactivation Date September 16, 2022
Total Practice Duration ~6 Years of Practice (2016 – 2022)

Professional Overview & Biography Verified Profile Summary

Lisa Bethea, RPH was a registered Pharmacist practicing in Normal, IL. Throughout an active medical career spanning 6 years, Lisa Bethea provided care at the practice location at 901 S COTTAGE AVE until profile deactivation on 2022-09-16.

Practice Location & Contact Primary Location

Practice Address

901 S Cottage Ave

Normal, IL 617613302

Telephone 3094546080
Associated Practice Facility / Clinic
🏢 American Drug Stores Llc Facility NPI 1487600151

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Normal, IL

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

Practicing in Normal, 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 051-036646

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

1 Associated Practitioners
NPI 1902254097

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 September 16, 2022

Record deactivated on September 16, 2022

NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 31, 2016

Registered at 901 S COTTAGE AVE, NORMAL, IL 617613302 (Tel: 3094546080)

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Updated Business Mailing Address May 31, 2016

Registered at 901 S COTTAGE AVE, NORMAL, IL 617613302 (Tel: 3094546080)

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Provider Name / Credentials Updated May 31, 2016

Recorded as LISA BETHEA, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Pharmacist (License #051-036646 in IL)

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Initial NPI Registration & Enumeration May 31, 2016

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: 1659729689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2016
Last Update: May 31, 2016
Deactivation Date: September 16, 2022

Mailing Address

901 S Cottage Ave

Normal, IL 617613302

Phone: 3094546080

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.