Mark Thomas Doherty , RPH
Pharmacist • Streator, IL
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, Mark Doherty has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mark Doherty, RPH was a registered Pharmacist practicing in Streator, IL. Throughout an active medical career spanning 11 years, Mark Doherty provided care at the practice location at 120 E MAIN ST until profile deactivation on 2022-01-17.
Practice Location & Contact Primary Location
120 E Main St
Streator, IL 613642901
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Streator, IL
Practicing in Streator, IL (9983 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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
Pharmacist
Registered Pharmacist
Pharmacist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 17, 2022
NPI status registered as active in NPPES database
Registered at 120 E MAIN ST, STREATOR, IL 613642901 (Tel: 8156732439)
Registered at 1210 W MADISON ST, OTTAWA, IL 613502567 (Tel: 8154332055)
Recorded as MARK DOHERTY, RPH
Pharmacist (License #051030452 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1210 W Madison St
Ottawa, IL 613502567
Phone: 8154332055
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