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Deactivated NPI 1851550719 Deactivated / Inactive NPI Male Practitioner

Jack R Grizzle

Pharmacist • Delton, 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, Jack Grizzle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2008
NPI Deactivation Date March 09, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Jack Grizzle was a registered Pharmacist practicing in Delton, MI. Throughout an active medical career spanning 10 years, Jack Grizzle provided care at the practice location at 7869 COUGAR DR until profile deactivation on 2018-03-09.

Practice Location & Contact Primary Location

Practice Address

7869 Cougar Dr

Delton, MI 490467554

Telephone 2696232268
Fax 6168911124

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Delton, MI

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

Practicing in Delton, 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 5302022372

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 March 09, 2018

Record deactivated on March 09, 2018

NPI Profile Active June 05, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 05, 2008

Registered at 7869 COUGAR DR, DELTON, MI 490467554 (Tel: 2696232268)

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Updated Business Mailing Address June 05, 2008

Registered at 7869 COUGAR DR, DELTON, MI 490467554 (Tel: 2696232268)

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Provider Name / Credentials Updated June 05, 2008

Recorded as JACK GRIZZLE

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2008

Pharmacist (License #5302022372 in MI)

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Initial NPI Registration & Enumeration June 05, 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: 1851550719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2008
Last Update: June 05, 2008
Deactivation Date: March 09, 2018

Mailing Address

7869 Cougar Dr

Delton, MI 490467554

Phone: 2696232268

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.