Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568745404 Deactivated / Inactive NPI Male Practitioner

Wayne A Randolph , RPH

Pharmacist • Muncie, 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, Wayne Randolph has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2011
NPI Deactivation Date May 30, 2018
Total Practice Duration ~7 Years of Practice (2011 – 2018)

Professional Overview & Biography Verified Profile Summary

Wayne Randolph, RPH was a registered Pharmacist practicing in Muncie, IN. Throughout an active medical career spanning 7 years, Wayne Randolph provided care at the practice location at 2720 W JACKSON ST until profile deactivation on 2018-05-30.

Practice Location & Contact Primary Location

Practice Address

2720 W Jackson St

Muncie, IN 473034635

Telephone 7652878533
Fax 7652878543
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1306851449

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Muncie, IN

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

Practicing in Muncie, 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 26012836

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

10 Associated Practitioners
NPI 1124424403

Doctor of Pharmacy (Pharm.D.)

Brian Ayres

Pharmacist

NPI 1245512060
NPI 1336928969
NPI 1366725806

Doctor of Pharmacy (Pharm.D.)

NPI 1376012641

Doctor of Pharmacy (Pharm.D.)

NPI 1497038533

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 May 30, 2018

Record deactivated on May 30, 2018

NPI Profile Active September 27, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 27, 2011

Registered at 2720 W JACKSON ST, MUNCIE, IN 473034635 (Tel: 7652878533)

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Updated Business Mailing Address September 27, 2011

Registered at 2720 W JACKSON ST, MUNCIE, IN 473034635 (Tel: 7652878533)

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Provider Name / Credentials Updated September 27, 2011

Recorded as WAYNE RANDOLPH, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2011

Pharmacist (License #26012836 in IN)

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Initial NPI Registration & Enumeration September 27, 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: 1568745404
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2011
Last Update: September 27, 2011
Deactivation Date: May 30, 2018

Mailing Address

2720 W Jackson St

Muncie, IN 473034635

Phone: 7652878533

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.