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Deactivated NPI 1063795417 Deactivated / Inactive NPI Female Practitioner

Diane Irene Dudick , RPH

Pharmacist • Dearborn Heights, 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, Diane Dudick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 22, 2011
NPI Deactivation Date March 01, 2022
Total Practice Duration ~11 Years of Practice (2011 – 2022)

Professional Overview & Biography Verified Profile Summary

Diane Dudick, RPH was a registered Pharmacist practicing in Dearborn Heights, MI. Throughout an active medical career spanning 11 years, Diane Dudick provided care at the practice location at 5709 S TELEGRAPH RD until profile deactivation on 2022-03-01.

Practice Location & Contact Primary Location

Practice Address

5709 S Telegraph Rd

Dearborn Heights, MI 481252025

Telephone 3132921955
Fax 3132921947
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1093720393

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Dearborn Heights, MI

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

Practicing in Dearborn Heights, 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 5302025422

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

8 Associated Practitioners
Ryan Dawson , PHARMACIST INTERN

Student in an Organized Health Care Education/Training Program

NPI 1073253928

PHARMACISTINTERN

NPI 1114600392

Doctor of Pharmacy (Pharm.D.)

NPI 1124805825

Registered Pharmacist

Dena Jadallah

Pharmacy - Community/Retail Pharmacy

NPI 1487242806
NPI 1619593910
NPI 1710268834

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 March 01, 2022

Record deactivated on March 01, 2022

NPI Profile Active September 22, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 22, 2011

Registered at 5709 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 481252025 (Tel: 3132921955)

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Updated Business Mailing Address September 22, 2011

Registered at 5709 S TELEGRAPH RD, DEARBORN HEIGHTS, MI 481252025 (Tel: 3132921955)

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Provider Name / Credentials Updated September 22, 2011

Recorded as DIANE DUDICK, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2011

Pharmacist (License #5302025422 in MI)

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Initial NPI Registration & Enumeration September 22, 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: 1063795417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2011
Last Update: September 22, 2011
Deactivation Date: March 01, 2022

Mailing Address

5709 S Telegraph Rd

Dearborn Heights, MI 481252025

Phone: 3132921955

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.