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Deactivated NPI 1558527853 Deactivated / Inactive NPI Male Practitioner

Jerald Cavanaugh , RPH

Pharmacist • Leavenworth, KS

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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, Jerald Cavanaugh has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 06, 2008
NPI Deactivation Date August 12, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Jerald Cavanaugh, RPH was a registered Pharmacist practicing in Leavenworth, KS. Throughout an active medical career spanning 11 years, Jerald Cavanaugh provided care at the practice location at 5000 S 13TH ST until profile deactivation on 2019-08-12.

Practice Location & Contact Primary Location

Practice Address

5000 S 13th St

Leavenworth, KS 660485581

Telephone 9137274820

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Leavenworth, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Leavenworth, KS (2627 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 KS 1-11166

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
Michael Lineker

Pharmacy Technician

NPI 1316867708
NPI 1356428825

Registered Pharmacist

NPI 1366606071

BSRPH

Roy Rasmussen

Pharmacist

NPI 1619124435
John Fox

Pharmacist

NPI 1699921833

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 12, 2019

Record deactivated on August 12, 2019

NPI Profile Active August 06, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2008

Registered at 5000 S 13TH ST, LEAVENWORTH, KS 660485581 (Tel: 9137274820)

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Updated Business Mailing Address August 06, 2008

Registered at 12555 S CLINTON ST, OLATHE, KS 660616327

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Provider Name / Credentials Updated August 06, 2008

Recorded as JERALD CAVANAUGH, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2008

Pharmacist (License #1-11166 in KS)

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Initial NPI Registration & Enumeration August 06, 2008

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: 1558527853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2008
Last Update: August 06, 2008
Deactivation Date: August 12, 2019

Mailing Address

12555 S Clinton St

Olathe, KS 660616327

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.