Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790047603 Deactivated / Inactive NPI Male Practitioner

John Robert Jengo , RPH

Pharmacist • Skokie, 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 Jengo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 15, 2012
NPI Deactivation Date December 09, 2019
Total Practice Duration ~7 Years of Practice (2012 – 2019)

Professional Overview & Biography Verified Profile Summary

John Jengo, RPH was a registered Pharmacist practicing in Skokie, IL. Throughout an active medical career spanning 7 years, John Jengo provided care at the practice location at 8001 LINCOLN AVE STE 800 until profile deactivation on 2019-12-09.

Practice Location & Contact Primary Location

Practice Address

8001 Lincoln Ave Ste 800

Skokie, IL 600773695

Telephone 8005887464
Fax 8479827402
Associated Practice Facility / Clinic
🏢 Rph On The Go, Usa Facility NPI 1184032377

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Skokie, IL

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

Practicing in Skokie, 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 NY 044505-1

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 1831448877

Registered Pharmacist

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 December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active June 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2012

Registered at 8001 LINCOLN AVE STE 800, SKOKIE, IL 600773695 (Tel: 8005887464)

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Updated Business Mailing Address June 15, 2012

Registered at PO BOX 2171, JAMESTOWN, NY 147022171

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Provider Name / Credentials Updated June 15, 2012

Recorded as JOHN JENGO, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2012

Pharmacist (License #044505-1 in NY)

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Initial NPI Registration & Enumeration June 15, 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: 1790047603
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2012
Last Update: June 15, 2012
Deactivation Date: December 09, 2019

Mailing Address

Po Box 2171

Jamestown, NY 147022171

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.