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Deactivated NPI 1447529094 Deactivated / Inactive NPI Male Practitioner

Brent David Forman , RPH

Pharmacist • Eastpointe, 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, Brent Forman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 27, 2011
NPI Deactivation Date July 03, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Brent Forman, RPH was a registered Pharmacist practicing in Eastpointe, MI. Throughout an active medical career spanning 13 years, Brent Forman provided care at the practice location at 17755 E 8 MILE RD until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

17755 E 8 Mile Rd

Eastpointe, MI 480213131

Telephone 5867787582
Fax 5867787663

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Eastpointe, MI

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

Practicing in Eastpointe, 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 5302022259

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

2 Associated Practitioners
NPI 1811265028
Janghoon Park

Pharmacist

NPI 1831632520

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 July 03, 2024

Record deactivated on July 03, 2024

NPI Profile Active December 27, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 27, 2011

Registered at 17755 E 8 MILE RD, EASTPOINTE, MI 480213131 (Tel: 5867787582)

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Updated Business Mailing Address December 27, 2011

Registered at 17755 8 MILE RD, EASTPOINTE, MI 48021 (Tel: 5867787582)

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Provider Name / Credentials Updated December 27, 2011

Recorded as BRENT FORMAN, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2011

Pharmacist (License #5302022259 in MI)

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Initial NPI Registration & Enumeration December 27, 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: 1447529094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2011
Last Update: December 27, 2011
Deactivation Date: July 03, 2024

Mailing Address

17755 8 Mile Rd

Eastpointe, MI 48021

Phone: 5867787582

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.