Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1174735989 Deactivated / Inactive NPI Male Practitioner

Elwin Eugene Vanvalkenburg , RPH

Pharmacist • Sidney, 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, Elwin Vanvalkenburg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2007
NPI Deactivation Date May 04, 2007
Total Practice Duration ~1 Years of Practice (2007 – 2007)

Professional Overview & Biography Verified Profile Summary

Elwin Vanvalkenburg, RPH was a registered Pharmacist practicing in Sidney, NY. Throughout an active medical career spanning 1 years, Elwin Vanvalkenburg provided care at the practice location at 37 MAIN ST until profile deactivation on 2007-05-04.

Practice Location & Contact Primary Location

Practice Address

37 Main St

Sidney, NY 138381139

Telephone 6075637000
Associated Practice Facility / Clinic
🏢 Fairbanks Pharmacy Inc. Facility NPI 1942273636

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Sidney, NY

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

Practicing in Sidney, 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 019475

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

3 Associated Practitioners
NPI 1184891095

Registered Pharmacist

NPI 1235268483

Registered Pharmacist

NPI 1982760062

Registered Pharmacist, Certified Orthotist

Career & Practice History Timeline

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

7 Historical Events
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 37 MAIN ST, SIDNEY, NY 138381139 (Tel: 6075637000)

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Updated Business Mailing Address July 08, 2007

Registered at 5 MELROSE ST, SIDNEY, NY 138381313 (Tel: 6075631039)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ELWIN VANVALKENBURG, RPH

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

Pharmacist (License #019475 in NY)

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NPI Profile Deactivated May 04, 2007

Record deactivated on May 04, 2007

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Initial NPI Registration & Enumeration May 04, 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: 1174735989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2007
Last Update: July 08, 2007
Deactivation Date: May 04, 2007

Mailing Address

5 Melrose St

Sidney, NY 138381313

Phone: 6075631039

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.