Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1043810153 Deactivated / Inactive NPI Female Practitioner

Jennifer Rae Decoursey , RPH

Pharmacist • Sullivan, 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, Jennifer Decoursey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 28, 2020
NPI Deactivation Date August 07, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Jennifer Decoursey, RPH was a registered Pharmacist practicing in Sullivan, IN. Throughout an active medical career spanning 5 years, Jennifer Decoursey provided care at the practice location at 757 W WOLFE ST until profile deactivation on 2025-08-07.

Practice Location & Contact Primary Location

Practice Address

757 W Wolfe St

Sullivan, IN 478827116

Telephone 8122684626
Fax 8122684731
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1750309605

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Sullivan, IN

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

Practicing in Sullivan, 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 26019557A

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

1 Associated Practitioners
Eric Morse

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1285234831

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 August 07, 2025

Record deactivated on August 07, 2025

NPI Profile Active October 28, 2020

NPI status registered as active in NPPES database

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Updated Practice Location October 28, 2020

Registered at 757 W WOLFE ST, SULLIVAN, IN 478827116 (Tel: 8122684626)

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Updated Business Mailing Address October 28, 2020

Registered at 6730 N CAMP ARTHUR RD, BRUCEVILLE, IN 475166244 (Tel: 8128906557)

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Provider Name / Credentials Updated October 28, 2020

Recorded as JENNIFER DECOURSEY, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2020

Pharmacist (License #26019557A in IN)

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Initial NPI Registration & Enumeration October 28, 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: 1043810153
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2020
Last Update: October 28, 2020
Deactivation Date: August 07, 2025

Mailing Address

6730 N Camp Arthur Rd

Bruceville, IN 475166244

Phone: 8128906557

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.