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Active NPI 1801497789 Individual Practitioner Male Practitioner

Dr. Justin Vadukumcherry , PharmD

Pharmacist • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Justin Vadukumcherry, PharmD is a registered healthcare professional specializing in Pharmacist in Springfield, IL. Practice services are available at 2300 W WHITE OAKS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2300 W White Oaks Dr

Springfield, IL 627046423

Telephone 2176985938
Associated Practice Facility / Clinic
🏢 Sams West Inc Facility NPI 1033136338

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Springfield, IL

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

Practicing in Springfield, 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

CMS Verified: 2020-11-05
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051302865

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

3 Associated Practitioners
NPI 1174557730

Registered Pharmacist, Master of Science

NPI 1184972705

Doctor of Pharmacy (Pharm.D.)

NPI 1407458722

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 05, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2020

Registered at 2300 W WHITE OAKS DR, SPRINGFIELD, IL 627046423 (Tel: 2176985938)

📍
Updated Business Mailing Address November 05, 2020

Registered at 2300 W WHITE OAKS DR, SPRINGFIELD, IL 627046423 (Tel: 2176985938)

👤
Provider Name / Credentials Updated November 05, 2020

Recorded as JUSTIN VADUKUMCHERRY, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2020

Pharmacist (License #051302865 in IL)

🟢
Initial NPI Registration & Enumeration November 05, 2020

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: 1801497789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2020
Last Update: November 05, 2020
Sole Proprietor: Yes

Mailing Address

2300 W White Oaks Dr

Springfield, IL 627046423

Phone: 2176985938

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.