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Deactivated NPI 1083982417 Deactivated / Inactive NPI Male Practitioner

Edward Ross Tucker , PHARMACIST

Pharmacist • Council Bluffs, IA

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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, Edward Tucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 13, 2011
NPI Deactivation Date October 24, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Edward Tucker, PHARMACIST was a registered Pharmacist practicing in Council Bluffs, IA. Throughout an active medical career spanning 11 years, Edward Tucker provided care at the practice location at 301 W BENNETT AVE until profile deactivation on 2022-10-24.

Practice Location & Contact Primary Location

Practice Address

301 W Bennett Ave

Council Bluffs, IA 515035179

Telephone 7123250619
Fax 7123250639
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1083629398

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Council Bluffs, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Council Bluffs, IA (3246 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 IA 13381

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

5 Associated Practitioners
NPI 1023385218

Registered Pharmacist

NPI 1083384671

Doctor of Pharmacy (Pharm.D.)

NPI 1316214547

Doctor of Pharmacy (Pharm.D.)

Ailen Urso

Pharmacist

NPI 1811552078
NPI 1912284191

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 October 24, 2022

Record deactivated on October 24, 2022

NPI Profile Active December 13, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 13, 2011

Registered at 301 W BENNETT AVE, COUNCIL BLUFFS, IA 515035179 (Tel: 7123250619)

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Updated Business Mailing Address December 13, 2011

Registered at 301 W BENNETT AVE, COUNCIL BLUFFS, IA 515035179 (Tel: 7123250619)

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Provider Name / Credentials Updated December 13, 2011

Recorded as EDWARD TUCKER, PHARMACIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2011

Pharmacist (License #13381 in IA)

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Initial NPI Registration & Enumeration December 13, 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: 1083982417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2011
Last Update: December 13, 2011
Deactivation Date: October 24, 2022

Mailing Address

301 W Bennett Ave

Council Bluffs, IA 515035179

Phone: 7123250619

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.