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Deactivated NPI 1134763444 Deactivated / Inactive NPI Male Practitioner

Maxwell Dalloo

Pharmacist • Bloomfield Hills, MI

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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, Maxwell Dalloo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 30, 2019
NPI Deactivation Date January 14, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Maxwell Dalloo was a registered Pharmacist practicing in Bloomfield Hills, MI. Throughout an active medical career spanning 1 years, Maxwell Dalloo provided care at the practice location at 43750 WOODWARD AVE STE 103 until profile deactivation on 2020-01-14.

Practice Location & Contact Primary Location

Practice Address

43750 Woodward Ave Ste 103

Bloomfield Hills, MI 483025063

Telephone 2487066748
Associated Practice Facility / Clinic
🏢 Bloomfield Rx Llc Facility NPI 1164901948

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bloomfield Hills, MI

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

Practicing in Bloomfield Hills, MI (8602 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

CMS Verified: 2020-09-30
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 5302412087

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

11 Historical Events
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Updated Practice Location September 30, 2020

Registered at 43750 WOODWARD AVE STE 103, BLOOMFIELD HILLS, MI 483025063 (Tel: 2487066748)

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Updated Business Mailing Address September 30, 2020

Registered at 43750 WOODWARD AVE STE 103, BLOOMFIELD HILLS, MI 483025063 (Tel: 2487066748)

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Provider Name / Credentials Updated September 30, 2020

Recorded as MAXWELL DALLOO

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Pharmacist (License #5302412087 in MI)

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NPI Profile Deactivated January 14, 2020

Record deactivated on January 14, 2020

NPI Profile Active October 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2019

Registered at 43750 WOODWARD AVE STE 103, BLOOMFIELD HILLS, MI 483025063 (Tel: 2487066748)

📍
Updated Business Mailing Address October 30, 2019

Registered at 43750 WOODWARD AVE STE 103, BLOOMFIELD HILLS, MI 483025063 (Tel: 2487066748)

👤
Provider Name / Credentials Updated October 30, 2019

Recorded as MAXWELL DALLOO

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2019

Pharmacist (License #5302412087 in MI)

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Initial NPI Registration & Enumeration October 30, 2019

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: 1134763444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2019
Last Update: September 30, 2020
Deactivation Date: January 14, 2020
Sole Proprietor: No

Mailing Address

43750 Woodward Ave Ste 103

Bloomfield Hills, MI 483025063

Phone: 2487066748

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.