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Deactivated NPI 1417380973 Deactivated / Inactive NPI Male Practitioner

Mark Alan Graham , RPH

Pharmacist • Jackson, MS

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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, Mark Graham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2013
NPI Deactivation Date May 08, 2025
Total Practice Duration ~12 Years of Practice (2013 – 2025)

Professional Overview & Biography Verified Profile Summary

Mark Graham, RPH was a registered Pharmacist practicing in Jackson, MS. Throughout an active medical career spanning 12 years, Mark Graham provided care at the practice location at 4329 N STATE ST until profile deactivation on 2025-05-08.

Practice Location & Contact Primary Location

Practice Address

4329 N State St
Ste #10

Jackson, MS 392065261

Telephone 6013661449
Fax 6013663553

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
227 Specialists

Practicing in Jackson, MS (2321 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 MS E6023

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 May 08, 2025

Record deactivated on May 08, 2025

NPI Profile Active August 19, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 19, 2013

Registered at 4329 N STATE ST, STE #10, JACKSON, MS 392065261 (Tel: 6013661449)

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Updated Business Mailing Address August 19, 2013

Registered at 4329 N STATE ST, STE #10, JACKSON, MS 392065261 (Tel: 6013661449)

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Provider Name / Credentials Updated August 19, 2013

Recorded as MARK GRAHAM, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2013

Pharmacist (License #E6023 in MS)

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Initial NPI Registration & Enumeration August 19, 2013

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: 1417380973
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2013
Last Update: August 19, 2013
Deactivation Date: May 08, 2025

Mailing Address

4329 N State St, Ste #10

Jackson, MS 392065261

Phone: 6013661449

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.