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Deactivated NPI 1083840789 Deactivated / Inactive NPI Male Practitioner

Thomas M Doak , R PH

Pharmacist • Ithaca, 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, Thomas Doak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 09, 2009
NPI Deactivation Date July 03, 2024
Total Practice Duration ~15 Years of Practice (2009 – 2024)

Professional Overview & Biography Verified Profile Summary

Thomas Doak, R PH was a registered Pharmacist practicing in Ithaca, NY. Throughout an active medical career spanning 15 years, Thomas Doak provided care at the practice location at 500 S MEADOW ST until profile deactivation on 2024-07-03.

Practice Location & Contact Primary Location

Practice Address

500 S Meadow St

Ithaca, NY 148505317

Telephone 6072771772
Associated Practice Facility / Clinic
🏢 Wegmans Food Markets, Inc. Facility NPI 1720057722

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Ithaca, NY

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

Practicing in Ithaca, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 029150

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

12 Associated Practitioners
NPI 1013349562

Registered Pharmacist

NPI 1184938870

Registered Pharmacist

NPI 1205114543

Registered Pharmacist

NPI 1265153720

Doctor of Pharmacy (Pharm.D.)

NPI 1275705303

Registered Pharmacist

NPI 1386957991

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 July 03, 2024

Record deactivated on July 03, 2024

NPI Profile Active June 09, 2009

NPI status registered as active in NPPES database

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Updated Practice Location June 09, 2009

Registered at 500 S MEADOW ST, ITHACA, NY 148505317 (Tel: 6072771772)

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Updated Business Mailing Address June 09, 2009

Registered at 13 SPARROW DR, PINE VALLEY, NY 148729703 (Tel: 6077321575)

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Provider Name / Credentials Updated June 09, 2009

Recorded as THOMAS DOAK, R PH

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2009

Pharmacist (License #029150 in NY)

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Initial NPI Registration & Enumeration June 09, 2009

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: 1083840789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2009
Last Update: June 09, 2009
Deactivation Date: July 03, 2024

Mailing Address

13 Sparrow Dr

Pine Valley, NY 148729703

Phone: 6077321575

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.