Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083824841 Deactivated / Inactive NPI Male Practitioner

Jack Lee Taghon , RPH

Pharmacist • South Bend, 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, Jack Taghon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2007
NPI Deactivation Date June 28, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Jack Taghon, RPH was a registered Pharmacist practicing in South Bend, IN. Throughout an active medical career spanning 16 years, Jack Taghon provided care at the practice location at 714 N MICHIGAN ST until profile deactivation on 2023-06-28.

Practice Location & Contact Primary Location

Practice Address

714 N Michigan St

South Bend, IN 466011035

Telephone 5746477176
Fax 5746476767
Associated Practice Facility / Clinic
🏢 Beacon Medical Group, Inc. Facility NPI 1609828946

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in South Bend, IN

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

Practicing in South Bend, 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 26011648A

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 1386851418

Registered Pharmacist

NPI 1396952412

Registered Pharmacist

NPI 1558578518

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 June 28, 2023

Record deactivated on June 28, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 714 N MICHIGAN ST, SOUTH BEND, IN 466011035 (Tel: 5746477176)

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Updated Business Mailing Address July 08, 2007

Registered at 21830 BELKAY DR, SOUTH BEND, IN 466284075 (Tel: 5742728430)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JACK TAGHON, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #26011648A in IN)

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Initial NPI Registration & Enumeration May 23, 2007

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: 1083824841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: July 08, 2007
Deactivation Date: June 28, 2023

Mailing Address

21830 Belkay Dr

South Bend, IN 466284075

Phone: 5742728430

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.