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Deactivated NPI 1376687715 Deactivated / Inactive NPI Male Practitioner

Lyle Williams

Pharmacist • Poplar Bluff, 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, Lyle Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 19, 2007
NPI Deactivation Date March 24, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Lyle Williams was a registered Pharmacist practicing in Poplar Bluff, MO. Throughout an active medical career spanning 16 years, Lyle Williams provided care at the practice location at 1611 LURLYN DR until profile deactivation on 2023-03-24.

Practice Location & Contact Primary Location

Practice Address

1611 Lurlyn Dr

Poplar Bluff, MO 639012763

Telephone 5737857708
Fax 5737857700
Associated Practice Facility / Clinic
🏢 Central Pharmacy Facility NPI 1639213267

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Poplar Bluff, MO

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

Practicing in Poplar Bluff, 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 045319

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

1 Associated Practitioners
John Robinson

Pharmacist

NPI 1275677817

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 March 24, 2023

Record deactivated on March 24, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1611 LURLYN DR, POPLAR BLUFF, MO 639012763 (Tel: 5737857708)

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Updated Business Mailing Address July 08, 2007

Registered at HC 2 BOX 2104A, VAN BUREN, MO 639659601

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Provider Name / Credentials Updated July 08, 2007

Recorded as LYLE WILLIAMS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #045319 in MO)

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Initial NPI Registration & Enumeration February 19, 2007

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: 1376687715
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2007
Last Update: July 08, 2007
Deactivation Date: March 24, 2023

Mailing Address

Hc 2 Box 2104a

Van Buren, MO 639659601

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.