Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083183271 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy Hall , DO

Pharmacist • Flushing, NY

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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, Dr. Timothy Hall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 16, 2018
NPI Deactivation Date March 27, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Hall, DO was a registered Pharmacist practicing in Flushing, NY. Throughout an active medical career spanning 5 years, Dr. Hall provided care at the practice location at 13610 38TH AVE until profile deactivation on 2023-03-27.

Practice Location & Contact Primary Location

Practice Address

13610 38th Ave

Flushing, NY 113544113

Telephone 7183535737
Associated Practice Facility / Clinic
🏢 Mmm Health Corp Facility NPI 1376174474

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Flushing, NY

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

Practicing in Flushing, NY (23779 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: 2026-04-09
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 064932-1

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1114253283

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location April 09, 2026

Registered at 13610 38TH AVE, FLUSHING, NY 113544113 (Tel: 7183535737)

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Updated Business Mailing Address April 09, 2026

Registered at 1 LAKE RD, GREAT NECK, NY 110201609 (Tel: 9178820916)

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2026

Student in an Organized Health Care Education/Training Program

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NPI Profile Reactivated April 03, 2023

Record officially reactivated for active practice on April 03, 2023

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Updated Practice Location April 03, 2023

Registered at 240 MEETING HOUSE LN, SOUTHAMPTON, NY 119685009 (Tel: 6317268200)

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Updated Business Mailing Address April 03, 2023

Registered at 240 MEETING HOUSE LN, SOUTHAMPTON, NY 119685009 (Tel: 6317268200)

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Provider Name / Credentials Updated April 03, 2023

Recorded as TIMOTHY HALL, DO

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NPI Profile Deactivated March 27, 2023

Record deactivated on March 27, 2023

NPI Profile Active November 16, 2018

NPI status registered as active in NPPES database

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Updated Practice Location November 16, 2018

Registered at 85 ELIZABETH ST, NEW YORK, NY 100134770 (Tel: 2124310333)

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Updated Business Mailing Address November 16, 2018

Registered at 85 ELIZABETH ST, NEW YORK, NY 100134770 (Tel: 2124310333)

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Provider Name / Credentials Updated November 16, 2018

Recorded as TIMOTHY HALL, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2018

Pharmacist (License #064932-1 in NY)

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Initial NPI Registration & Enumeration November 16, 2018

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: 1083183271
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2018
Last Update: April 09, 2026
Deactivation Date: March 27, 2023
Sole Proprietor: No

Mailing Address

1 Lake Rd

Great Neck, NY 110201609

Phone: 9178820916

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.