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Deactivated NPI 1083162242 Deactivated / Inactive NPI Male Practitioner

Justin Cunningham

Pharmacist • Gering, NE

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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, Justin Cunningham has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 16, 2016
NPI Deactivation Date March 02, 2018
Total Practice Duration ~2 Years of Practice (2016 – 2018)

Professional Overview & Biography Verified Profile Summary

Justin Cunningham was a registered Pharmacist practicing in Gering, NE. Throughout an active medical career spanning 2 years, Justin Cunningham provided care at the practice location at 140149 COUNTY ROAD 25 until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

140149 County Road 25

Gering, NE 693415315

Telephone 4028417009

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Gering, NE

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

Practicing in Gering, NE (1850 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 NE 14558

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 March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active September 16, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 16, 2016

Registered at 140149 COUNTY ROAD 25, GERING, NE 693415315 (Tel: 4028417009)

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Updated Business Mailing Address September 16, 2016

Registered at 140149 COUNTY ROAD 25, GERING, NE 693415315 (Tel: 4028417009)

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Provider Name / Credentials Updated September 16, 2016

Recorded as JUSTIN CUNNINGHAM

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2016

Pharmacist (License #14558 in NE)

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Initial NPI Registration & Enumeration September 16, 2016

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: 1083162242
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2016
Last Update: September 16, 2016
Deactivation Date: March 02, 2018

Mailing Address

140149 County Road 25

Gering, NE 693415315

Phone: 4028417009

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.