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Deactivated NPI 1699056606 Deactivated / Inactive NPI Male Practitioner

Michael A Boge , RPH

Pharmacist • Rockford, 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, Michael Boge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 02, 2011
NPI Deactivation Date January 26, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Michael Boge, RPH was a registered Pharmacist practicing in Rockford, IL. Throughout an active medical career spanning 10 years, Michael Boge provided care at the practice location at 3929 N MULFORD RD until profile deactivation on 2021-01-26.

Practice Location & Contact Primary Location

Practice Address

3929 N Mulford Rd

Rockford, IL 611145600

Telephone 8156339157
Fax 8156398077
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1659386860

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Rockford, IL

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

Practicing in Rockford, 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 051.037492

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

12 Associated Practitioners
Bilel Lekmine

Pharmacist

NPI 1093328957
NPI 1164891156

Doctor of Pharmacy (Pharm.D.)

NPI 1265137129

Doctor of Pharmacy (Pharm.D.)

NPI 1275800831

Registered Pharmacist

NPI 1376156273

Doctor of Pharmacy (Pharm.D.)

NPI 1376164939

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 26, 2021

Record deactivated on January 26, 2021

NPI Profile Active September 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 02, 2011

Registered at 3929 N MULFORD RD, ROCKFORD, IL 611145600 (Tel: 8156339157)

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Updated Business Mailing Address September 02, 2011

Registered at 3929 N MULFORD RD, ROCKFORD, IL 611145600 (Tel: 8156339157)

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Provider Name / Credentials Updated September 02, 2011

Recorded as MICHAEL BOGE, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2011

Pharmacist (License #051.037492 in IL)

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Initial NPI Registration & Enumeration September 02, 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: 1699056606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2011
Last Update: September 02, 2011
Deactivation Date: January 26, 2021

Mailing Address

3929 N Mulford Rd

Rockford, IL 611145600

Phone: 8156339157

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.