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Deactivated NPI 1720363161 Deactivated / Inactive NPI Male Practitioner

Mark C Donovan

Pharmacist • Ellisville, 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, Mark Donovan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2011
NPI Deactivation Date August 31, 2017
Total Practice Duration ~6 Years of Practice (2011 – 2017)

Professional Overview & Biography Verified Profile Summary

Mark Donovan was a registered Pharmacist practicing in Ellisville, MO. Throughout an active medical career spanning 6 years, Mark Donovan provided care at the practice location at 1302 CLARKSON CLAYTON CTR until profile deactivation on 2017-08-31.

Practice Location & Contact Primary Location

Practice Address

1302 Clarkson Clayton Ctr

Ellisville, MO 630112145

Telephone 6363944422
Fax 6363944373
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1912912155

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ellisville, MO

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

Practicing in Ellisville, 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 028780

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
Elliot Haskins

Pharmacy - Community/Retail Pharmacy

NPI 1447177936
NPI 1760767297

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 August 31, 2017

Record deactivated on August 31, 2017

NPI Profile Active October 17, 2011

NPI status registered as active in NPPES database

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Updated Practice Location October 17, 2011

Registered at 1302 CLARKSON CLAYTON CTR, ELLISVILLE, MO 630112145 (Tel: 6363944422)

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Updated Business Mailing Address October 17, 2011

Registered at 1302 CLARKSON CLAYTON CTR, ELLISVILLE, MO 630112145 (Tel: 6363944422)

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Provider Name / Credentials Updated October 17, 2011

Recorded as MARK DONOVAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2011

Pharmacist (License #028780 in MO)

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Initial NPI Registration & Enumeration October 17, 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: 1720363161
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2011
Last Update: October 17, 2011
Deactivation Date: August 31, 2017

Mailing Address

1302 Clarkson Clayton Ctr

Ellisville, MO 630112145

Phone: 6363944422

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.