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Deactivated NPI 1053646638 Deactivated / Inactive NPI Male Practitioner

David Alan Perzanowski , RPH

Pharmacist • Vineyard Haven, MA

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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, David Perzanowski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 15, 2009
NPI Deactivation Date June 19, 2025
Total Practice Duration ~16 Years of Practice (2009 – 2025)

Professional Overview & Biography Verified Profile Summary

David Perzanowski, RPH was a registered Pharmacist practicing in Vineyard Haven, MA. Throughout an active medical career spanning 16 years, David Perzanowski provided care at the practice location at 117 BEACH RD until profile deactivation on 2025-06-19.

Historical Medicare Part B clinical services included administration of influenza virus vaccine. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

117 Beach Rd

Vineyard Haven, MA 02568

Telephone 5086937979
Associated Practice Facility / Clinic
🏢 Mvmedshop, Inc Facility NPI 1699847210

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Vineyard Haven, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Vineyard Haven, MA (6023 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
6.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0008 Administration of influenza virus vaccine
13 13 $28.44 $26.66

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MA 18214

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.

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 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active October 15, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 15, 2009

Registered at 117 BEACH RD, VINEYARD HAVEN, MA 02568 (Tel: 5086937979)

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Updated Business Mailing Address October 15, 2009

Registered at 25 AMOS LANE, VINEYARD HAVEN, MA 02568 (Tel: 5086934080)

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Provider Name / Credentials Updated October 15, 2009

Recorded as DAVID PERZANOWSKI, R.PH

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2009

Pharmacist (License #18214 in MA)

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Initial NPI Registration & Enumeration October 15, 2009

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: 1053646638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2009
Last Update: October 15, 2009
Deactivation Date: June 19, 2025

Mailing Address

25 Amos Lane

Vineyard Haven, MA 02568

Phone: 5086934080

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.