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Deactivated NPI 1063713691 Deactivated / Inactive NPI Male Practitioner

Abraham C Jansen Van Rensburg

Pharmacist • Drexel, MO

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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, Abraham Jansen Van Rensburg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 12, 2010
NPI Deactivation Date September 06, 2018
Total Practice Duration ~8 Years of Practice (2010 – 2018)

Professional Overview & Biography Verified Profile Summary

Abraham Jansen Van Rensburg was a registered Pharmacist practicing in Drexel, MO. Throughout an active medical career spanning 8 years, Abraham Jansen Van Rensburg provided care at the practice location at 203 E MAIN ST until profile deactivation on 2018-09-06.

Practice Location & Contact Primary Location

Practice Address

203 E Main St

Drexel, MO 64742

Telephone 8166572448
Fax 8166572851

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Drexel, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Drexel, MO (5469 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 MO 2014003291

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

3 Associated Practitioners
NPI 1063020253
NPI 1366523573

Registered Pharmacist

NPI 1710071477

Doctor of Pharmacy (Pharm.D.)

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 September 06, 2018

Record deactivated on September 06, 2018

NPI Profile Active June 23, 2014

NPI status registered as active in NPPES database

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Updated Practice Location June 23, 2014

Registered at 203 E MAIN ST, DREXEL, MO 64742 (Tel: 8166572448)

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Updated Business Mailing Address June 23, 2014

Registered at 203 E MAIN ST, DREXEL, MO 64742 (Tel: 8166572448)

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Provider Name / Credentials Updated June 23, 2014

Recorded as ABRAHAM JANSEN VAN RENSBURG

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2014

Pharmacist (License #2014003291 in MO)

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Initial NPI Registration & Enumeration November 12, 2010

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: 1063713691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 12, 2010
Last Update: June 23, 2014
Deactivation Date: September 06, 2018

Mailing Address

203 E Main St

Drexel, MO 64742

Phone: 8166572448

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.