Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1093095606 Deactivated / Inactive NPI Male Practitioner

Dr. Joseph Hersemann , PharmD

Pharmacist • Peoria, 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, Dr. Joseph Hersemann has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2011
NPI Deactivation Date January 06, 2020
Total Practice Duration ~9 Years of Practice (2011 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Hersemann, PharmD was a registered Pharmacist practicing in Peoria, IL. Throughout an active medical career spanning 9 years, Dr. Hersemann provided care at the practice location at 1919 W PIONEER PKWY until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

1919 W Pioneer Pkwy

Peoria, IL 616151825

Telephone 3096920045
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1518972736

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Peoria, IL

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

Practicing in Peoria, 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 051292249

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
NPI 1083056162

Doctor of Pharmacy (Pharm.D.)

Rachel Rice

Pharmacist

NPI 1124428586
NPI 1215363585

Doctor of Pharmacy (Pharm.D.)

Sherin Oommen

Pharmacist

NPI 1306464839
Gorgees Baeezo

Pharmacist

NPI 1508468026
NPI 1598034506

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 January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active August 26, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2011

Registered at 1919 W PIONEER PKWY, PEORIA, IL 616151825 (Tel: 3096920045)

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Updated Business Mailing Address August 26, 2011

Registered at 13205 N WHITTAKER RD, BRIMFIELD, IL 615179704 (Tel: 3097123825)

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Provider Name / Credentials Updated August 26, 2011

Recorded as JOSEPH HERSEMANN, PHARM. D

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2011

Pharmacist (License #051292249 in IL)

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Initial NPI Registration & Enumeration August 26, 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: 1093095606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2011
Last Update: August 26, 2011
Deactivation Date: January 06, 2020

Mailing Address

13205 N Whittaker Rd

Brimfield, IL 615179704

Phone: 3097123825

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.