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Deactivated NPI 1508402116 Deactivated / Inactive NPI Male Practitioner

Kevin Joe Cook , RPH

Pharmacist • Bloomington, IN

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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, Kevin Cook has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 19, 2019
NPI Deactivation Date April 23, 2026
Total Practice Duration ~7 Years of Practice (2019 – 2026)

Professional Overview & Biography Verified Profile Summary

Kevin Cook, RPH was a registered Pharmacist practicing in Bloomington, IN. Throughout an active medical career spanning 7 years, Kevin Cook provided care at the practice location at 1175 S COLLEGE MALL RD until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

1175 S College Mall Rd

Bloomington, IN 474016290

Telephone 8123332819
Fax 8123234304
Associated Practice Facility / Clinic
🏢 Kroger Limited Partnership I Facility NPI 1215000831

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bloomington, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
74 Specialists

Practicing in Bloomington, IN (5218 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 IN 26017573A

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

4 Associated Practitioners
Alyssa Van Duzer , PA-C

Physician Assistant - Medical

NPI 1013753078

Physician Assistant (Certified)

Brent Mezger , FNP-C

Nurse Practitioner - Family

NPI 1245744598

Family Nurse Practitioner (Certified)

NPI 1437795556

Doctor of Pharmacy (Pharm.D.)

Amber Morrow , FNP

Nurse Practitioner - Family

NPI 1982255758

Family Nurse Practitioner

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 April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active November 19, 2019

NPI status registered as active in NPPES database

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Updated Practice Location November 19, 2019

Registered at 1175 S COLLEGE MALL RD, BLOOMINGTON, IN 474016290 (Tel: 8123332819)

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Updated Business Mailing Address November 19, 2019

Registered at 1175 S COLLEGE MALL RD, BLOOMINGTON, IN 474016290 (Tel: 8123451020)

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Provider Name / Credentials Updated November 19, 2019

Recorded as KEVIN COOK, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2019

Pharmacist (License #26017573A in IN)

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Initial NPI Registration & Enumeration November 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
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NPI Administrative Meta

NPI Number: 1508402116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2019
Last Update: November 19, 2019
Deactivation Date: April 23, 2026

Mailing Address

1175 S College Mall Rd

Bloomington, IN 474016290

Phone: 8123451020

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.