Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891306528 Individual Practitioner Male Practitioner

Ian Thacker

Pharmacist • Moberly, MO

Professional Overview & Biography Verified Profile Summary

Ian Thacker is a registered healthcare professional specializing in Pharmacist in Moberly, MO. Practice services are available at 1711 N MORLEY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1711 N Morley St

Moberly, MO 652703630

Telephone 6602634187
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1962562058

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Moberly, MO

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

Practicing in Moberly, 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

CMS Verified: 2020-08-14
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2020031426

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 1275810558

Registered Pharmacist

NPI 1578844718

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2020

Registered at 1711 N MORLEY ST, MOBERLY, MO 652703630 (Tel: 6602634187)

📍
Updated Business Mailing Address August 14, 2020

Registered at 4525 WATERLOO DR, COLUMBIA, MO 652021162

👤
Provider Name / Credentials Updated August 14, 2020

Recorded as IAN THACKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2020

Pharmacist (License #2020031426 in MO)

🟢
Initial NPI Registration & Enumeration August 14, 2020

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: 1891306528
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2020
Last Update: August 14, 2020
Sole Proprietor: Yes

Mailing Address

4525 Waterloo Dr

Columbia, MO 652021162

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.