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Deactivated NPI 1366551343 Deactivated / Inactive NPI Male Practitioner

Robert Ernest Bastianelli , RPH

Pharmacist • Brockway, 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, Robert Bastianelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date December 16, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Robert Bastianelli, RPH was a registered Pharmacist practicing in Brockway, MI. Throughout an active medical career spanning 16 years, Robert Bastianelli provided care at the practice location at 7470 BROCKWAY RD until profile deactivation on 2022-12-16.

Practice Location & Contact Primary Location

Practice Address

7470 Brockway Rd

Brockway, MI 480973458

Telephone 8103870601
Associated Practice Facility / Clinic
🏢 Detroit Vamc Facility NPI 1922048750

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Brockway, MI

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

Practicing in Brockway, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MI 23078

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

17 Associated Practitioners
NPI 1033140728

Doctor of Osteopathic Medicine (D.O.)

Laura Brosius

Nurse Practitioner - Family

NPI 1063908259
Melissa Oconnor , RN

Registered Nurse

NPI 1154214732

Registered Nurse

Brianna Steadman , PA-C

Physician Assistant - Medical

NPI 1154780930

Physician Assistant (Certified)

Tara Deters , PA-C

Physician Assistant

NPI 1245330521

Physician Assistant (Certified)

Carolyn Richards , PA-C

Physician Assistant - Medical

NPI 1346341385

Physician Assistant (Certified)

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 December 16, 2022

Record deactivated on December 16, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7470 BROCKWAY RD, BROCKWAY, MI 480973458 (Tel: 8103870601)

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Updated Business Mailing Address July 08, 2007

Registered at 7470 BROCKWAY RD, BROCKWAY, MI 480973458 (Tel: 8103870601)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT BASTIANELLI, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #23078 in MI)

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Initial NPI Registration & Enumeration August 30, 2006

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: 1366551343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: July 08, 2007
Deactivation Date: December 16, 2022

Mailing Address

7470 Brockway Rd

Brockway, MI 480973458

Phone: 8103870601

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.